A 53-Year-Old Woman with Persistent Erythroderma and Dyspnea
A 53-year-old obese woman with history of obsessive compulsive disorder was referred to the general internal medicine clinic because of erythroderma and progressive dyspnea. Tapering psychiatric drugs and administering corticosteroids did not help her. A mild exudative pleural effusion and solid/cystic large ovarian masses were found in work-ups. The pathology of the masses was indicative of high-grade serous adenocarcinoma of ovaries. Five months after surgery and chemotherapies, her erythroderma resolved, confirming the diagnosis of paraneoplasric erythroderma due to ovarian cancer.
Carter JB, Barnes JA, Niell BL, Nardi V. Case records of the Massachusetts General Hospital. Case 24-2013. A 53-year-old woman with erythroderma, pruritus, and lymphadenopathy. N Engl J Med 2013; 369(6): 559-69.
Akhyani M, Ghodsi ZS, Toosi S, Dabbaghian H. Erythroderma: A clinical study of 97 cases. BMC Dermatology 2005; 5: 5.
Vonderheid EC. On the diagnosis of erythrodermic cutaneous T-cell lymphoma. J Cutan Pathol 2006; 33(Suppl 1): 27-42.
Sigurdsson V, Toonstra J, Hezemans-Boer M, van Vloten WA. Erythroderma. A clinical and follow- up study of 102 patients, with special emphasis on survival. J Am Acad Dermatol 1996; 35(1): 53-7.
Belhadjali H, Ghannouchi N, Amri C, Youssef M, Amri M, Zili J. Contact dermatitis to henna used as a hair dye. Contact Dermatitis 2008; 58(3): 182.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.