Introduction
Necrolytic migratory erythema (NME) is a rare cutaneous paraneoplastic manifestation of glucagonoma. Estimated incidence of glucagonoma is 1/20,000,000/year(1). Elevated glucagon level can cause a variety of clinical manifestations including weight loss, diabetes, and NME. This skin rash has a cyclic nature and lesions exist simultaneously at different stages(2). Misdiagnosis of paraneoplastic cutaneous manifestation could delay the diagnosis of glucagonoma. We report an interesting case of a female patient with a 6-year history of delayed diagnosis of Glucagonoma.