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Case Reports
. 2016:160:D391.

[Asteatotic eczema as paraneoplastic syndrome]

[Article in Dutch]
N Koks  1 , Y J Assen, E J Libourel, S A Eskes
Affiliations
  • PMID: 27531249
Case Reports

[Asteatotic eczema as paraneoplastic syndrome]

[Article in Dutch]
N Koks et al. Ned Tijdschr Geneeskd. 2016.

Abstract

Background: Asteatotic eczema is rarely associated with an underlying malignancy. The condition as paraneoplastic syndrome is characterised by glucocorticoid resistance.

Case description: A 66-year old woman came to the emergency room with symptoms of dehydration resulting from diarrhoea due to cyclosporine therapy for treatment-resistant eczema. CT scan of thorax and abdomen showed multiple, pathologically enlarged lymph nodes. Histological examination of a lymph node biopsy from the right axilla showed an ALK-negative, anaplastic large T-cell lymphoma.

Conclusion: Asteatotic eczema is usually innocuous but may also be linked to malignancy. A careful physical examination and early referral to second-line care are needed for rapid diagnosis and treatment of the underlying condition.

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