2023, Number 6
Uncommon dermal manifestations of malignant diseases
García FRLF, Chía VNG
Full text
Language: Spanish
References: 7
Page: 936--939
PDF size: 202.59 Kb.
ABSTRACT
Background: Bazex paraneoplastic acrokeratosis (Bazex syndrome) is a rare paraneoplastic skin disease defined by scald, erythematous, violaceous plaques on the hands and feet or in other acral locations, such as the nose or ears. The syndrome is related to a variety of malignancies. Related neoplasms are predominantly oropharyngeal or gastrointestinal, but other malignancies have been reported. The diagnosis of Bazex syndrome should be considered in the presence of atypical psoriasiform lesions, since the diagnosis can substantially change the prognosis of patients.Clinical case: An 86-year-old male patient who began his condition approximately two months ago with generalized itching and the appearance of a lesion on the back of the left foot, evaluated and treated by dermatology and angiology without improvement. Physical examination revealed macular lesions on the thoracic limbs and neck with scratching stigmata, with edema of the lower limbs ++ / +++, with evidence of venous insufficiency and a lesion on the dorsum of the left ankle in plaque shapes, raised, red and covered with scales accompanied by itching. Determination of prostate specific antigen done in 2019 was of 06.04 ng/mL.
Conclusions: Bazex syndrome is a rare dermatological paraneoplastic condition, which frequently, but not always, precedes the appearance of the malignant disease.
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