Caretta E
Minerva Med. 1981 Nov 3;72(43):2905-12.
Three cases of lymphoma of the small intestine accompanied by numerous aspecific signs related to probable paraneoplastic syndromes are reported. All patients presented watch glass nails and drumstick fingers. These were associated, in the first patient, with initial pruritus followed by a picture of ichthyosis and, in the second, with a polyneuritic syndrome localised initially at the nerves of the lumbosacral plexus, later extended to the right facial nerve. The practical importance of such signs, which often precede and dominate, at least initially, symptomatology in the gastroenteric apparatus, is pointed out. Their early recognition may lead to a suspicion of the fundamental condition, thus avoiding diagnostic errors and permitting earlier diagnosis and faster treatment.
报告了3例小肠淋巴瘤病例，伴有许多与可能的副肿瘤综合征相关的非特异性体征。所有患者均出现反甲和杵状指。在第一名患者中，这些体征最初伴有瘙痒，随后出现鱼鳞病表现；在第二名患者中，伴有最初局限于腰骶丛神经的多神经病综合征，后来扩展至右侧面神经。指出了这些体征的实际重要性，它们常常先于且至少在最初主导胃肠道症状。早期识别这些体征可能会引发对基础疾病的怀疑，从而避免诊断错误，并实现更早的诊断和更快的治疗。
