title: Exfoliative erythroderma as a paraneoplastic presentation of adenocarcinoma of the gallbladder.
abstract: We report a case of a 71-year-old Caucasian male presenting with an exfoliative skin rash all over his body. The patient was also found to have a huge gall bladder mass extending into the liver that turned out to be adenocarcinoma of the gall bladder on biopsy. Gall bladder cancer usually presents with abdominal pain, swelling or jaundice. We report only the second case in literature of a gall bladder adenocarcinoma presenting with exfoliative erythroderma as its paraneoplastic presentation.
authors.affiliation: 1 Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; 2 No Affiliation; 3 Department of Pathology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Sherif Ali
authors.initials: SA
authors.lastname: Eltawansy
authors.affiliation: 1 Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; 2 No Affiliation; 3 Department of Pathology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Abhinav
authors.initials: A
authors.lastname: Agrawal
authors.affiliation: 1 Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; 2 No Affiliation; 3 Department of Pathology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Anar
authors.initials: A
authors.lastname: Modi
authors.affiliation: 1 Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; 2 No Affiliation; 3 Department of Pathology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Samaa
authors.initials: S
authors.lastname: Hassanien
authors.affiliation: 1 Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; 2 No Affiliation; 3 Department of Pathology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Bin
authors.initials: B
authors.lastname: Zhang
authors.affiliation: 1 Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; 2 No Affiliation; 3 Department of Pathology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Zhengtong
authors.initials: Z
authors.lastname: Pei
authors.affiliation: 1 Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA ; 2 No Affiliation; 3 Department of Pathology, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: Wael
authors.initials: W
authors.lastname: Ghali
keywords: Exfoliative erythroderma; gall bladder carcinoma (GBC); paraneoplastic syndrome; skin rash
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