Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jun 29;11(2):436-441.
doi: 10.1159/000490527. eCollection 2018 May-Aug.

Leser-Trélat Sign Presenting in a Patient with Relapsing Mycosis Fungoides

Affiliations
Case Reports

Leser-Trélat Sign Presenting in a Patient with Relapsing Mycosis Fungoides

Fahad Alsaif et al. Case Rep Oncol. .

Abstract

The Leser-Trélat sign is a rare sign of some malignant tumors and is characterized by the sudden appearance of seborrheic keratosis in association with an underlying malignancy. We describe a 60-year-old Saudi man with mycosis fungoides (MF) who developed numerous, rapidly growing, seborrheic keratoses on his face and back. To the best of our knowledge, this is the first reported case of MF with the Leser-Trélat sign from Saudi Arabia.

Keywords: Leser-Trélat sign; Mycosis fungoides; Paraneoplastic; Seborrheic keratoses.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Clinical picture of the eruption of the seborrheic keratosis over face.
Fig. 2
Fig. 2
Clinical picture of the eruption of the seborrheic keratosis over back and multiple lesions of MF.
Fig. 3
Fig. 3
Upper back lesion reveals acanthosis, pigmented keratinocytes, and pseudohorn cysts consistent with seborrheic keratosis. H/E stain. ×100.
Fig. 4
Fig. 4
Biopsy from right lower back exhibits atypical lymphocytes in epidermis with papillary dermal fibrosis. H/E stain. ×400.

References

    1. Leser E. Ueber ein die Krebskrankheit beim Menschen haufig begleitendes, noch wenig gekanntes Symptom. Munch Med Wochenschr. 1901;51:2035–6.
    1. Pipkin CA, Lio PA. Cutaneous manifestations of internal malignancies: an overview [vii.] Dermatol Clin. 2008 Jan;26((1)):1–15. - PubMed
    1. Lindelöf B, Sigurgeirsson B, Melander S. Seborrheic keratoses and cancer. J Am Acad Dermatol. 1992 Jun;26((6)):947–50. - PubMed
    1. Schwengle LE, Rampen FH, Wobbes T. Seborrhoeic keratoses and internal malignancies. A case control study. Clin Exp Dermatol. 1988 May;13((3)):177–9. - PubMed
    1. Cohen JH, Lessin SR, Vowels BR, Benoit B, Witmer WK, Rook AH. The sign of Leser-Trélat in association with Sézary syndrome: simultaneous disappearance of seborrheic keratoses and malignant T-cell clone during combined therapy with photopheresis and interferon alfa. Arch Dermatol. 1993 Sep;129((9)):1213–5. - PubMed

Publication types