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Case Rep Dermatol Med. 2015;2015:415393. doi: 10.1155/2015/415393. Epub 2015 Nov 30.

A Rare Case of Zosteriform Cutaneous Metastases from a Nasopharyngeal Carcinoma.

Case reports in dermatological medicine

Andrés González García, Emiliano Grillo Fernández, Ignacio Barbolla Díaz, Asunción Ballester, Héctor Pian, Guadalupe Fraile

Affiliations

  1. Department of Internal Medicine, University Hospital Ramón y Cajal, Madrid, Spain.
  2. Department of Dermatology, University Hospital Ramón y Cajal, Madrid, Spain.
  3. Department of Pathology, University Hospital Ramón y Cajal, Madrid, Spain.

PMID: 26697235 PMCID: PMC4677182 DOI: 10.1155/2015/415393

Abstract

From a clinical point of view, the most common presentations of cutaneous metastatic disease are papules and nodules. However, a wide morphological spectrum of lesions has been described, including erythematous patches or plaques, inflammatory erysipelas-like lesions, diffuse sclerodermiform lesions with induration of the skin, telangiectatic papulovesicles, purpuric plaques mimicking vasculitis, and alopecia areata like scalp lesions. The so-called zosteriform pattern has been described to be in few cases and to the best of our knowledge has never been described associated with a metastasis of a nasopharyngeal carcinoma. This case highlights the relevance of including cutaneous metastases in the differential diagnosis of patients with nonhealing herpes zoster-like lesions, especially in those with underlying neoplasm recently diagnosed.

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