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Malignant Acanthosis Nigricans: An Indicator of Internal Malignancy
Muhammad Rizwan1, Nadia Iftikhar1, Tariq Sarfraz2
1Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi, Pakistan.
Summary
Malignant acanthosis nigricans, a skin condition, can signal internal cancers. This case highlights its rare association with bile duct cancer, alongside tripe palms and papillomatosis.
Area of Science:
- Dermatology
- Oncology
- Gastroenterology
Background:
- Acanthosis nigricans presents as velvety, hyperpigmented plaques on skin folds.
- Malignant acanthosis nigricans is a paraneoplastic syndrome often linked to gastric cancer.
- Tripe palms, florid cutaneous papillomatosis, and oral lesions suggest internal malignancy.
Observation:
- This report details a rare case of malignant acanthosis nigricans.
- The patient exhibited a combination of tripe palms, florid cutaneous papillomatosis, and oral involvement.
- These dermatological findings were associated with an undifferentiated malignant neoplasm of the hepatic bile ducts.
Findings:
- The case demonstrates a rare presentation of malignant acanthosis nigricans.
- It highlights the association of specific skin manifestations with a rare cancer.
- The findings underscore the importance of dermatological examination in diagnosing internal malignancies.
Implications:
- This case expands the known spectrum of paraneoplastic syndromes.
- It emphasizes the diagnostic value of mucocutaneous findings in oncology.
- Early recognition of these signs may lead to earlier detection of rare cancers.
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