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Gastric carcinoid syndrome diagnosed by endoscopy
The American Journal of Gastroenterology
|July 1, 1981
Summary
A patient with a history of autoimmune conditions presented with skin flushing. Doctors discovered a gastric carcinoid tumor with liver metastases, confirmed by biopsy.
Area of Science:
- Gastroenterology
- Oncology
- Dermatology
Background:
- A 64-year-old female with diabetes, hypothyroidism, and Evan's syndrome (autoimmune hemolytic anemia and thrombocytopenia) sought orthopedic evaluation for an inflamed finger.
- The patient reported intermittent, itchy, red skin flushing on her face, neck, chest, and upper extremities.
Observation:
- The flushing episodes were triggered by meals or emotional distress.
- Physical examination revealed patchy, pruritic, lobster-red flush.
Findings:
- Diagnostic workup, including gastric endoscopy and liver biopsies, identified a gastric carcinoid tumor.
- The tumor had metastasized to the liver, confirmed by tissue diagnosis.
Implications:
- This case highlights the importance of investigating unusual dermatological symptoms, such as flushing, for underlying gastrointestinal malignancies.
- Early detection of gastric carcinoid tumors, even with atypical presentations, is crucial for effective management and improved patient outcomes.