Bazex Syndrome, Acrokeratosis Paraneoplastica - DermAtlas

Contributor

Eric Ehrsam, MD

Diagnosis

Bazex syndrome acrokeratosis paraneoplastica

Body Site

toe foot

Age

45 years

Pigmentation

medium

Organization

patchy

Color

red yellow

Morphology

papulosquamous (bump, scale)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

A 45-year-old man was evaluated for painful psoriasiform lesions of his fingers. On examination he was noted to have acral psoriasisform and erosive lesions on his ears and toes typical of Bazex syndrome (acrokeratosis neoplastica). Palpation of the left cervical area revealed a firm lymph node which is shown on this picture. Ear, nose, and throat examination demonstrated squamous cell carcinoma of the tonsil. Bazex syndrome is most often associated with squamous cell carcinoma of the upper aerodigestive tract.

Description

symmetric red scaly and erosive plaques with yellow scaly nails and subungual debris

Image Added

12/1/2007 21:28:04

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Other Resources

PubMed Medline Plus Medscape

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