A 36-year-old female with chronic watery diarrhea and persistent hypokalemia for more than eight months duration eventually being diagnosed as vasoactive intestinal peptide tumor (VIPoma) clinically and histologically is presented here. The patient achieved complete recovery after starting octreotide, a somatostatin analog. She underwent a distal pancreatectomy along with the removal of the tumor at Teaching Hospital Jaffna for the permanent cure.

Raynaud phenomenon is clinically manifested by sharply demarcated colour changes of the skin of the digits due to abnormal vasoconstriction of digital arteries and cutaneous arterioles. Raynaud can be primary or secondary. Here we present a young female patient who presented with Raynaud, inflammatory type of small joint pain and proximal muscle weakness. She was diagnosed to have mixed connective tissue disease after extensive evaluation.

A rare case of sporadic Gower Laing: Early adultonset distal myopathy type III (MDP I) presenting to a medical ward in northern Sri Lanka is presented here. A 39-year-old female present with difficulty in walking from age 10 and was investigated leading to the above diagnosis. This is a rare autosomal dominant distal myopathy and there have been no similar cases reported from the Northern Province of Sri Lanka, as well as in Sri Lanka.