title: Unusual eruption of cutaneous metastases from occult gastric carcinoma shortly after HIV-1 infection.
abstract: We report a case of eruptive metastases to the skin of the face and neck from a hitherto unknown gastric carcinoma, occurring in a fifty-two-year-old man (a regular blood donor), about six months after he contracted human immunodeficiency virus-1 infection. The eruption, consisting of more than thirty pea-sized cutaneous nodules appeared within about twenty days. The patient complained of epigastric pain and weight loss. Histologic examination showed signet-ring cells of gastric carcinoma metastases. Gastroscopic examination showed a widely infiltrating tumor. No metastases were found elsewhere after a careful screening. Immunologic variables were only slightly altered. This case and a brief review suggest that gastric carcinomas, possibly as well as other coincidental tumors, may present atypically during human immunodeficiency virus-1 infection.
authors.affiliation: Institute of Infectious Disease, University of Turin, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Sinicco
authors.forename: P
authors.initials: P
authors.lastname: Gagliano
authors.forename: P
authors.initials: P
authors.lastname: Caramello
authors.forename: R
authors.initials: R
authors.lastname: Fora
authors.forename: M
authors.initials: M
authors.lastname: Sciandra
authors.forename: D
authors.initials: D
authors.lastname: Novero
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D018279:Carcinoma, Signet Ring Cell / Q000473:pathology / Q000556:secondary*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012878:Skin Neoplasms / Q000473:pathology / Q000556:secondary*; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology; D013997:Time Factors