2.7 of 3 Ratings
A 55-year-old man presents to his primary care physician with fatigue, malaise, and a painful rash. The patient states that his symptoms have been worsening over the past week, and he cannot tolerate them anymore. He also has experienced abdominal pain and diarrhea during this time. He has a past medical history of obesity and smokes regularly. His temperature is 97.5°F (36.4°C), blood pressure is 142/82 mmHg, pulse is 85/min, respirations are 15/min, and oxygen saturation is 98% on room air. Physical exam is notable for an erythematous rash with papules and plaques on the patient's face, torso, and extremities. He states that the rash is painful. A fingerstick blood glucose is unable to accurately read his blood glucose and gives a reading of >500 mg/dL. Which of the following is the most likely underlying pathophysiology of this patient’s condition?
Alpha cell tumor
Beta cell destruction
Beta cell tumor
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