Paraneoplastic cutaneous manifestations: concepts and updates

The skin often signals systemic changes. Some neoplastic diseases that affect internal organs may trigger several cutaneous manifestations. Although these dermatoses are relatively unusual, the recognition of some typical paraneoplastic dermatoses may lead to the early diagnosis of a neoplasm and de...

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Published in:	Anais brasileiros de dermatología Vol. 88; no. 1; pp. 9 - 22
Main Authors:	Silva, Josenilson Antônio da, Mesquita, Kleyton de Carvalho, Igreja, Ana Carolina de Souza Machado, Lucas, Isabella Cristina Rodrigues Naves, Freitas, Aline Ferreira, Oliveira, Sandra Maximiano de, Costa, Izelda Maria Carvalho, Campbell, Iphis Tenfuss
Format:	Journal Article
Language:	English
Published:	Brazil Sociedade Brasileira de Dermatologia 01-01-2013
Subjects:	Continued Medical Education DERMATOLOGY Education, Medical, Continuing Humans Necrosis Paraneoplastic Syndromes - complications Paraneoplastic Syndromes - pathology Prognosis Skin Diseases - etiology Skin Diseases - pathology Surveys and Questionnaires Manifestações cutâneas Neoplasias Paraneoplastic syndromes Skin manifestations Síndromes paraneoplásicas Neoplasms
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Abstract	The skin often signals systemic changes. Some neoplastic diseases that affect internal organs may trigger several cutaneous manifestations. Although these dermatoses are relatively unusual, the recognition of some typical paraneoplastic dermatoses may lead to the early diagnosis of a neoplasm and determine a better prognosis. In this review article, we discuss the paraneoplastic cutaneous manifestations strongly associated with neoplasms, which include acanthosis nigricans maligna, tripe palms, erythema gyratum repens, Bazex syndrome, acquired hypertrichosis lanuginosa, necrolytic migratory erythema, Leser-Trélat sign and paraneoplastic pemphigus. We also review the clinical manifestations of each condition and include updated knowledge on disease pathogenesis.
AbstractList	The skin often signals systemic changes. Some neoplastic diseases that affect internal organs may trigger several cutaneous manifestations. Although these dermatoses are relatively unusual, the recognition of some typical paraneoplastic dermatoses may lead to the early diagnosis of a neoplasm and determine a better prognosis. In this review article, we discuss the paraneoplastic cutaneous manifestations strongly associated with neoplasms, which include acanthosis nigricans maligna, tripe palms, erythema gyratum repens, Bazex syndrome, acquired hypertrichosis lanuginosa, necrolytic migratory erythema, Leser-Trélat sign and paraneoplastic pemphigus. We also review the clinical manifestations of each condition and include updated knowledge on disease pathogenesis. The skin often signals systemic changes. Some neoplastic diseases that affect internal organs may trigger several cutaneous manifestations. Although these dermatoses are relatively unusual, the recognition of some typical paraneoplastic dermatoses may lead to the early diagnosis of a neoplasm and determine a better prognosis. In this review article, we discuss the paraneoplastic cutaneous manifestations strongly associated with neoplasms, which include acanthosis nigricans maligna, tripe palms, erythema gyratum repens, Bazex syndrome, acquired hypertrichosis lanuginosa, necrolytic migratory erythema, Leser-Trélat sign and paraneoplastic pemphigus. We also review the clinical manifestations of each condition and include updated knowledge on disease pathogenesis. A pele é, muitas vezes, reflexo de manifestações sistêmicas. Doenças neoplásicas que afetam órgãos internos podem exibir manifestações cutâneas diversas. Apesar de relativamente incomuns, o reconhecimento de dermatoses paraneoplásicas pode levar ao diagnóstico precoce da neoplasia e, consequentemente, determinar melhor prognóstico. Nesta revisão serão discutidas as manifestações cutâneas paraneoplásicas com maior força de associação a neoplasias, que incluem acantose nigricante maligna, paquidermatoglifia adquirida, erythema gyratum repens, síndrome de Bazex, hipertricose lanuginosa adquirida, eritema necrolítico migratório, sinal de Leser-Trélat e pênfigo paraneoplásico. Para cada condição serão revisadas e atualizadas as manifestações clínicas, principais neoplasias associadas e etiopatogenia. The skin often signals systemic changes. Some neoplastic diseases that affect internal organs may trigger several cutaneous manifestations. Although these dermatoses are relatively unusual, the recognition of some typical paraneoplastic dermatoses may lead to the early diagnosis of a neoplasm and determine a better prognosis. In this review article, we discuss the paraneoplastic cutaneous manifestations strongly associated with neoplasms, which include acanthosis nigricans maligna, tripe palms, erythema gyratum repens, Bazex syndrome, acquired hypertrichosis lanuginosa, necrolytic migratory erythema, Leser-Trélat sign and paraneoplastic pemphigus. We also review the clinical manifestations of each condition and include updated knowledge on disease pathogenesis.
Author	Igreja, Ana Carolina de Souza Machado Freitas, Aline Ferreira Silva, Josenilson Antônio da Costa, Izelda Maria Carvalho Mesquita, Kleyton de Carvalho Campbell, Iphis Tenfuss Lucas, Isabella Cristina Rodrigues Naves Oliveira, Sandra Maximiano de
AuthorAffiliation	4 PhD in Dermatology, Federal University of São Paulo (Unifesp) – Professor (PhD) of Dermatology, University of Brasília (UnB) – Brasília (DF), Brazil 5 MSc in Dermatology, Federal University of São Paulo (Unifesp) - Professor of Dermatology, School of Medicine, University of Planalto Central (UNIPLAC) – Brasília (DF), Brazil 1 MD. Catholic University of Brasília - UCB – Brasília (DF), Brazil 2 MSc in Health Sciences (under course) – University of Brasília (UnB) - Dermatologist – Health State Secretaria of the Federal District of Brazil – Brasília (DF), Brazil 3 MD - Resident in Dermatology, University Hospital of Brasília - University of Brasília (HUB-UnB) – Brasília (DF), Brazil
AuthorAffiliation_xml	– name: 4 PhD in Dermatology, Federal University of São Paulo (Unifesp) – Professor (PhD) of Dermatology, University of Brasília (UnB) – Brasília (DF), Brazil – name: 1 MD. Catholic University of Brasília - UCB – Brasília (DF), Brazil – name: 3 MD - Resident in Dermatology, University Hospital of Brasília - University of Brasília (HUB-UnB) – Brasília (DF), Brazil – name: 5 MSc in Dermatology, Federal University of São Paulo (Unifesp) - Professor of Dermatology, School of Medicine, University of Planalto Central (UNIPLAC) – Brasília (DF), Brazil – name: 2 MSc in Health Sciences (under course) – University of Brasília (UnB) - Dermatologist – Health State Secretaria of the Federal District of Brazil – Brasília (DF), Brazil – name: Universidade do Planalto Catarinense – name: Universidade Católica de Brasília – name: Universidade Federal de São Paulo – name: Secretaria de Estado da Saúde do Distrito Federal – name: Universidade de Brasília
Author_xml	– sequence: 1 givenname: Josenilson Antônio da surname: Silva fullname: Silva, Josenilson Antônio da organization: Catholic University of Brasília- UCB, Brasília, (DF), Brazil – sequence: 2 givenname: Kleyton de Carvalho surname: Mesquita fullname: Mesquita, Kleyton de Carvalho – sequence: 3 givenname: Ana Carolina de Souza Machado surname: Igreja fullname: Igreja, Ana Carolina de Souza Machado – sequence: 4 givenname: Isabella Cristina Rodrigues Naves surname: Lucas fullname: Lucas, Isabella Cristina Rodrigues Naves – sequence: 5 givenname: Aline Ferreira surname: Freitas fullname: Freitas, Aline Ferreira – sequence: 6 givenname: Sandra Maximiano de surname: Oliveira fullname: Oliveira, Sandra Maximiano de – sequence: 7 givenname: Izelda Maria Carvalho surname: Costa fullname: Costa, Izelda Maria Carvalho – sequence: 8 givenname: Iphis Tenfuss surname: Campbell fullname: Campbell, Iphis Tenfuss
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/23538999$$D View this record in MEDLINE/PubMed
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Copyright	2013 by Anais Brasileiros de Dermatologia This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.
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Keywords	Manifestações cutâneas Neoplasias Paraneoplastic syndromes Skin manifestations Síndromes paraneoplásicas Neoplasms
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Kadikoylu, G; Bolaman, Z – volume: 18 start-page: 197 year: 2008 end-page: 198 article-title: Erythema gyratum repens as the initial manifestation of lung cancer publication-title: Eur J Dermatol contributor: fullname: Serrão, V; Martins, A; Ponte, P; Baptista, J; Apetato, M; Feio, AB – volume: 76 start-page: 340 year: 2010 end-page: 341 article-title: The sign of Leser-Trelat in colorectal adenocarcinoma publication-title: Am Surg contributor: fullname: Constantinou, C; Dancea, H; Meade, P – volume: 33 start-page: 2357 year: 1987 end-page: 2365 article-title: Cutaneous manifestations of internal malignant disease publication-title: Can Fam Physician contributor: fullname: McLean, DI – volume: 57 start-page: 1465 year: 2012 end-page: 1468 article-title: Abdominal Mass, Anemia, Diabetes Mellitus, and Necrolytic Migratory Erythema publication-title: Dig Dis Sci contributor: fullname: Qadan, M; Visser,; Kim, J; Pai, R; Triadafilopoulos, G – volume: 29 start-page: 541 year: 2011 end-page: 547 article-title: Cutaneous paraneoplasia publication-title: Clin Dermatol contributor: fullname: Ramos-E-Silva, M; Carvalho, JC; Carneiro, SC – volume: 43 start-page: 46 year: 2007 end-page: 48 article-title: Pulmonary adenocarcinoma and Bazex syndrome (paraneoplastic acrokeratosis) publication-title: Arch Bronconeumol contributor: fullname: Río Ramírez, MT; Casado López, ME; Peirón Puyal, MJ; Peñas Herrero, JM – volume: 26 start-page: 1 year: 2008 end-page: 15 article-title: Cutaneous manifestations of internal malignancies: an overview publication-title: Dermatol Clin contributor: fullname: Pipkin, CA; Lio, PA – volume: 46 start-page: 678 year: 1970 end-page: 685 article-title: Cutaneous manifestations of visceral malignancy publication-title: Postgrad Med J contributor: fullname: Sneddon, IB – volume: 64 start-page: e89 year: 2011 end-page: 90 article-title: Erythema gyratum repens publication-title: J Am Acad Dermatol contributor: fullname: De La Torre-Lugo, EM; Sanchez, JL – volume: 85 start-page: 736 year: 2010 end-page: 742 article-title: Cutaneous manifestations of internal malignancies in a tertiary health care hospital of a developing country publication-title: An Bras Dermatol contributor: fullname: Ortega-Loayza, AG; Ramos, W; Gutierrez, EL; Paz, PC; Bobbio, L; Galarza, C – volume: 37 start-page: 573 year: 2011 end-page: 592 article-title: Neoplastic/paraneoplastic dermatitis, fasciitis, and panniculitis publication-title: Rheum Dis Clin North Am contributor: fullname: Shah, A; Jack, A; Liu, H; Hopkins, RS – volume: 86 start-page: 573 year: 2011 end-page: 577 article-title: Florid cutaneous papillomatosis and acanthosis nigricans maligna revealing gastric adenocarcinoma publication-title: An Bras Dermatol contributor: fullname: Brinca, A; Cardoso, JC; Brites, MM; Tellechea, Ó; Figueiredo, A – volume: 56 start-page: 183 year: 2001 end-page: 188 article-title: Necrolytic migratory erythema associated with glucagonoma syndrome: a case report publication-title: Rev Hosp Clin Fac Med São Paulo contributor: fullname: Dal Coleto, CC; de Mello, AP; Piquero-Casals, J; Lima, FR; Vilela, MA; Festa-Neto, C – volume: 54 start-page: 745 year: 2006 end-page: 762 article-title: Clinical and pathologic findings of paraneoplastic dermatoses publication-title: J Am Acad Dermatol contributor: fullname: Chung, VQ; Moschella, SL; Zembowicz, A; Liu, V – volume: 96 start-page: 175 year: 2005 end-page: 178 article-title: Necrolytic migratory erythema associated with glucagonoma publication-title: Actas Dermosifiliogr contributor: fullname: Mendoza-Guil, F; Hernández-Jurado, I; Burkhardt, P; Linares, J; Naranjo, R – volume: 85 start-page: 838 year: 2010 end-page: 854 article-title: Paraneoplastic Syndromes: an approach to diagnosis and treatment publication-title: Mayo Clin Proc contributor: fullname: Pelosof, LC; Gerber, DE – volume: 28 start-page: 1 year: 1993 end-page: 13 article-title: Cutaneous markers of internal malignancyI. Malignant involvement of the skin and the genodermatoses publication-title: J Am Acad Dermatol contributor: fullname: Poole, S; Fenske, NA – volume: 2 start-page: 8868 year: 2009 article-title: Sign of Leser-Trelat with an adenocarcinoma of the prostate: a case report publication-title: Cases J contributor: fullname: Kluger, N; Guillot, B – volume: 82 start-page: 582 year: 2007 end-page: 583 article-title: Dermatologia comparativa: paquidermatoglifia adquirida associada a carcinoma gástrico avançado publication-title: An Bras Dermatol contributor: fullname: Ribas, J; Peixoto, LFAA; Almeida, MF; Lima, WC
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Snippet	The skin often signals systemic changes. Some neoplastic diseases that affect internal organs may trigger several cutaneous manifestations. Although these... The skin often signals systemic changes. Some neoplastic diseases that affect internal organs may trigger several cutaneous manifestations. Although these...
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SubjectTerms	Continued Medical Education DERMATOLOGY Education, Medical, Continuing Humans Necrosis Paraneoplastic Syndromes - complications Paraneoplastic Syndromes - pathology Prognosis Skin Diseases - etiology Skin Diseases - pathology Surveys and Questionnaires
Title	Paraneoplastic cutaneous manifestations: concepts and updates
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