Erysipeloid cutaneous metastasis from bladder carcinoma

Cutaneous metastases from bladder cancer are uncommon, especially in the female population. Although their clinical presentation may vary, the erysipelas-like appearance and the lower extremities location represent exceptional features. We describe a 56-year-old female with a history of bladder adenocarcinoma (T3N0M0) who presented erythematous plaques with an erysipelas-like appearance located on the groins and thighs. Histopathology and immunohistochemistry from skin lesions were consistent with metastases from bladder carcinoma. We report this case for the unusual clinical features and because an early recognition of cutaneous metastases from genitourinary malignancies is important in clinical practice.