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Is it just a psoriasiform dermatitis?

Olalla Figueroa-Silva1, Martina Espasandín-Arias, Francisco Javier García-Martínez

  • 1Department of Dermatology, Faculty of Medicine, Complejo Hospitalario Universitario, Santiago de Compostela, Spain. olalla.figueroa@gmail.com.

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|February 16, 2018
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Summary
This summary is machine-generated.

Bazex syndrome, a rare paraneoplastic condition, is characterized by skin lesions that often appear before cancer diagnosis. This case highlights psoriasiform acral dermatitis preceding prostate and submandibular gland tumors.

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Area of Science:

  • Dermatology
  • Oncology
  • Paraneoplastic Syndromes

Background:

  • Bazex syndrome (BS) is a rare paraneoplastic disorder.
  • It is typically linked to squamous cell carcinomas, particularly in the upper aerodigestive tract.
  • Cutaneous manifestations of BS often precede the identification of an underlying malignancy.

Observation:

  • A 72-year-old male presented with a year-long history of acral dermatitis.
  • The patient exhibited psoriasiform acral dermatitis, a hallmark of Bazex syndrome.
  • Simultaneously, two distinct tumors were diagnosed: prostate adenocarcinoma and undifferentiated carcinoma of the submandibular gland.

Findings:

  • The clinical presentation and diagnostic criteria confirmed Bazex syndrome in this patient.
  • The presence of psoriasiform acral dermatitis served as an early indicator.
  • The co-occurrence of prostate and submandibular gland carcinomas was noted.

Implications:

  • This case underscores the importance of recognizing Bazex syndrome's cutaneous signs.
  • Early identification of BS can lead to the timely diagnosis of associated neoplasms.
  • Dermatologists and oncologists should consider BS in patients with characteristic skin findings and potential underlying cancers.