Arandes-Marcocci Jorge, Iglesias-Sancho Maribel, Setó-Torrent Núria, Fernández-Figueras María Teresa
Hospital Universitari Sagrat Cor-Grupo Quirónsalud, Barcelona, Spain.
Hospital Universitari Sagrat Cor-Grupo Quirónsalud, Barcelona, Spain.
An Bras Dermatol. 2020 Jan-Feb;95(1):67-70. doi: 10.1016/j.abd.2019.05.004. Epub 2019 Dec 31.
Erythroderma as the first manifestation of a solid organ malignancy is rare. The underlying cancer is a challenging condition to diagnose. There are a few cases of erythroderma in cancer patients reported in the literature. We here describe the case of a 70-year-old man who presented with asthenia, weight loss, dry cough and total body erythema with desquamation over the past month. A chest computed tomography scan showed a nodular lesion, which was finally diagnosed as a squamous cell lung carcinoma. To our knowledge, as an erythroderma presentation, only 13 cases have been reported in the literature. This case report demonstrates the need to search for a neoplasm in patients presenting with erythroderma, particularly in the presence of accompanying debilitating symptoms.
红皮病作为实体器官恶性肿瘤的首发表现较为罕见。潜在的癌症诊断颇具挑战性。文献中报道了一些癌症患者出现红皮病的病例。我们在此描述一例70岁男性患者，该患者在过去一个月出现乏力、体重减轻、干咳及全身红斑伴脱屑。胸部计算机断层扫描显示有一个结节性病变，最终被诊断为肺鳞状细胞癌。据我们所知，作为红皮病表现，文献中仅报道了13例。本病例报告表明，对于出现红皮病的患者，尤其是伴有衰弱症状时，有必要排查肿瘤。
