The sign of Leser-Trélat in a case of adenocarcinoma of the lung - 05/09/11
Abstract |
This is what we believe to be the first report of the sign of Leser-Trélat in association with occult adenocarcinoma of the lung. The sign of Leser-Trélat is proposed as a sign of possible occult malignancy, despite various suggestions to the contrary. Also, it is suggested that a tumor-produced humoral factor (eg, transforming growth factor-⍺ [TGF-⍺]) could be responsible for both the acute eruption of the monomorphous seborrheic keratoses and the nearly concomitant development of acanthosis nigricans, which occurred in our case. The possible distinction between a hyperplastic and a neoplastic origin of various types of seborrheic keratosis is discussed in relation to this hypothetical humoral factor. In addition, we suggest a refinement of the definition of the sign of Leser-Trélat and discuss the use of “sign of Leser-Trélat” and “syndrome of Leser-Trélat” in relation to physical findings. All patients with the sign of Leser-Trélat should undergo a thorough evaluation for occult malignancy. (J Am Acad Dermatol 2000;43:386-90.)
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This supplement is made possible through an educational grant from Ortho Dermatological to the American Academy of Dermatology. |
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Reprint requests: Arnold L. Schroeter, Department of Dermatology, Mayo Clinic, 200 First St SW, Rochester, MN 55905. |
Vol 43 - N° 2S
P. 386-390 - août 2000 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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