Document Detail


Malignant acanthosis nigricans. A case report.
MedLine Citation:
PMID:  8414421     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The authors present a case of malignant acanthosis nigricans that has two unusual aspects. The first is involvement of the lid margins with confluent papillomata, causing severe visual impairment, and the second is the association with lung malignancy. METHODS: A 65-year-old Portuguese man presented with decreased vision, papillomatous lid lesions, pruritus, and progressive thickening of the skin of his face, neck, axillae, and inguinal creases. A diagnosis of acanthosis nigricans was made after skin biopsy. Systemic investigations showed a suprahilar mass, and biopsy was positive for squamous cell carcinoma of the lung. RESULTS: The patient underwent excision of papillomata from all four lid margins, and this was repeated 1 year later. He also completed a course of palliative radiotherapy. CONCLUSION: Malignant acanthosis nigricans is rarely associated with lung neoplasms, being more commonly a manifestation of intra-abdominal malignancies. Of note in this case is the extensive ocular involvement and visual impairment.
Authors:
C C Wedge; D S Rootman; W Hunter; G Sibbald
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ophthalmology     Volume:  100     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-11-08     Completed Date:  1993-11-08     Revised Date:  2009-02-26    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1590-2     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Toronto, Ontario.
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MeSH Terms
Descriptor/Qualifier:
Acanthosis Nigricans / complications*,  surgery
Aged
Biopsy
Carcinoma, Squamous Cell / complications*,  radiotherapy
Eyelid Diseases / complications*,  surgery
Humans
Lung Neoplasms / complications*,  radiotherapy
Male
Skin / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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