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Hyperpigmented rugosity of skin associated with adenocarcinoma of the caecum

¹ Department of Dermatology, BLDEA’s SBMP Medical College, Hospital and Research Centre, Bijapur, Karnataka, India
² Department of Pathology, BLDEA’s SBMP Medical College, Hospital and Research Centre

Correspondence to:
Correspondence to:
Professor A C Inamadar
Department of Dermatology, BLDEA’s SBMP Medical College, Hospital and Research Centre, Bijapur 586103, Karnataka, India; Aparuna1@rediffmail.com

Submitted 23 February 2004
Accepted 26 May 2004

The first 150 words of the full text of this article appear below.

A 52 year old male office worker presented with localised areas of dark, rugose skin over the face, dorsa of the hands and feet of 15 days’ duration. The lesions were asymptomatic but rapidly progressive causing concern to the patient. In addition, he had weight loss (>10 kg), anorexia, and profound weakness for the past month. He was non-smoker and non-alcoholic. He had been suffering from bleeding piles and anal fissures for the past 15 years. There was no history of fever, cough, respiratory distress, change of bowel habits, or difficulties in micturition.

On general physical examination there was moderate pallor. Systemic examinations were normal. Local cutaneous examination showed hyperpigmented, velvety, rugosities distributed over the forehead, bridge of the nose, and malar areas of the face (fig 1). Similar lesions were present over the knuckles and anterior aspect of the ankles (fig 2). Palms, soles, lips, and . . . [Full text of this article]