[Paraneoplastic skin diseases].

Internist (Berl)

Hautklinik und Hauttumorzentrum Rheinpfalz, Klinikum der Stadt Ludwigshafen, Bremserstraße 79, 67063, Ludwigshafen am Rhein, Deutschland.

Published: August 2019

AI Article Synopsis

  • - Various skin conditions, termed paraneoplastic skin diseases, can signal the presence of malignant diseases and can be linked to different types of cancers.
  • - Specific skin alterations are categorized based on their association with certain malignancies, such as those related to the digestive tract or hematolymphoid malignancies.
  • - Accurate diagnosis of these skin conditions is crucial for physicians, as they may indicate an underlying malignancy and guide further diagnostic testing.

Article Abstract

Various specific skin alterations can occur in patients with malignant diseases. If these skin diseases occur as associated symptoms of a malignant process, they are called paraneoplastic. In this overview, obligate and frequent facultative paraneoplastic skin diseases are assigned according to the triggering type of malignancy. Some of the processes predominantly show a link with malignant diseases of the digestive tract, e.g. acanthosis nigricans, florid cutaneous papillomatosis, necrolytic migratory erythema, Leser-Trélat syndrome, palmoplantar keratoderma, panniculitis and pityriasis rubra pilaris. Others are predominantly associated with a hematolymphoid malignoma, e.g. acquired ichthyosis, exfoliative erythroderma, necrobiotic xanthogranuloma, paraneoplastic pemphigus, plane xanthoma, pyoderma gangrenosum, scleromyxedema, Sweet syndrome and leukocytoclastic vasculitis. In a third group paraneoplastic skin diseases are pooled in association with other malignancies, e.g. Trousseau's syndrome, dermatomyositis, erythema gyratum repens, hypertrichosis lanuginosa acquisita and papuloerythroderma of Ofuji. In order to initiate targeted diagnostics for detection of an underlying malignant disease, it is essential that accomplished physicians recognize the skin diseases that represent obligate or potential paraneoplasms as such.

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Source
http://dx.doi.org/10.1007/s00108-019-0636-1DOI Listing

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