Patsatsi Aikaterini, Kyriakou Aikaterini, Karavasilis Vasilios, Tsatsou Fragkiski, Lazaridis Georgios, Kalabalikis Dimitrios, Sotiriadis Dimitrios
2nd Department of Dermatology and Venereology, Aristotle University School of Medicine, Thessaloniki, Greece.
Department of Medical Oncology, Aristotle University School of Medicine, Thessaloniki, Greece.
Case Rep Dermatol. 2014 Jan 18;6(1):10-5. doi: 10.1159/000358294. eCollection 2014 Jan.
Ichthyoses are a heterogeneous group of cutaneous keratinization disorders that can be congenital or acquired. Apart from neoplastic disorders, the acquired form of ichthyosis (AI) has been associated with a variety of diseases including infections, autoimmune/inflammatory and endocrine/metabolic diseases as well as nutritional conditions, medications and others. However, malignancy accounts for half of the reported cases, most commonly including lymphoproliferative disorders. We present a case of AI as a paraneoplastic skin manifestation of a primary, osseous hemangiopericytoma (HP) accompanied by multiple liver metastases. We also review the literature and discuss the necessity of investigating underlying diseases, especially malignancy, when adult-onset ichthyosis arises.
鱼鳞病是一组异质性的皮肤角化障碍性疾病,可分为先天性和后天性。除肿瘤性疾病外,后天性鱼鳞病(AI)与多种疾病相关,包括感染性疾病、自身免疫性/炎症性疾病、内分泌/代谢性疾病以及营养状况、药物等。然而,恶性肿瘤占报告病例的一半,最常见的包括淋巴增殖性疾病。我们报告一例AI,它是原发性骨血管外皮细胞瘤(HP)伴多发肝转移的副肿瘤性皮肤表现。我们还回顾了文献,并讨论了成人起病的鱼鳞病出现时,对潜在疾病尤其是恶性肿瘤进行调查的必要性。