title: Paraneoplastic vesiculobullous dermatomyositis with synchronic prostate and tongue tumors: case report.
abstract: Dermatomyositis is an inflammatory myopathy with skin manifestations. In the adult over the age of 50 years, it can be associated with malignant neoplasias, being, thus, a signal of malignancy.
  
  
  OBJECTIVE
  To show the association of dermatomyositis of atypical presentation with two synchronous tumors, usually not related to that.
  
  
  METHODS
  We report the case of a 72-year-old male, who developed dermatomyositis, initially with only classic skin findings, which progressed to vesiculobullous lesions, and, months later, to myopathy. After extensive investigation, prostate adenocarcinoma was diagnosed. After treatment of the cancer and administration of glucocorticoid, the disease went into remission. During gradual glucocorticoid withdrawal, dermatomyositis recurred, and the new investigation revealed the presence of squamous cell carcinoma of the tongue. After treating this neoplasia, complete remission occurred, even after total corticoid withdrawal.
  
  
  CONCLUSIONS
  This is a rare case involving less usual dermatomyositis presentation forms, relating to the cutaneous-muscle findings and the association with prostate and tongue tumors (tumors never reported together). This case demonstrates the importance of a careful investigation, searching for neoplasias, when approaching such patients.
authors.affiliation: Department of Internal Medicine - Hospital Antônio Pedro - Universidade Federal Fluminense, Brazil. paula_renaux@yahoo.com
authors.forename: Paula Renaux
authors.initials: PR
authors.lastname: Caratta
authors.forename: Thiago
authors.initials: T
authors.lastname: Mafort
authors.forename: Monique
authors.initials: M
authors.lastname: Pamplona
authors.forename: Bruno
authors.initials: B
authors.lastname: Schau
authors.forename: Rogerio R
authors.initials: RR
authors.lastname: Estrella
authors.forename: Ricardo Carneiro
authors.initials: RC
authors.lastname: Ramos
mesh_terms: D000368:Aged; D003882:Dermatomyositis / Q000209:etiology*; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000150:complications*; D010257:Paraneoplastic Syndromes / Q000150:complications*; D011471:Prostatic Neoplasms / Q000150:complications*; D012872:Skin Diseases, Vesiculobullous / Q000209:etiology*; D014062:Tongue Neoplasms / Q000150:complications*