Hand involvement in paraneoplastic syndrome: a case report.
Cutaneous paraneoplastic syndromes are skin and mucous membrane changes that are associated with cancer. We report a previously healthy 76-year-old man who developed marked finger and thumb contracture, pain, and hypersensitivity of both hands who was diagnosed subsequently as having gastric carcinoma with colonic metastasis. After the gastrointestinal tumors were resected the finger and thumb contracture lessened and the pain eased. Both the temporal relationship between the changes in the hand and the neoplasm and the improvement after resection suggest a paraneoplastic syndrome.
De Carli
Pablo
P
Hand and Upper Extremity Department, Prof Dr Carlos Ottolenghi Institute, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
Boretto
Jorge
J
Bourgeois
Walter
W
Gallucci
Gerardo
G
D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D003110:Colonic Neoplasms / Q000556:secondary* / Q000601:surgery; D003286:Contracture / Q000209:etiology*; D013505:Digestive System Surgical Procedures; D005385:Fingers; D006225:Hand; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology; D010257:Paraneoplastic Syndromes / Q000209:etiology*; D012074:Remission Induction; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013933:Thumb