title: A Rare Case of Zosteriform Cutaneous Metastases from a Nasopharyngeal Carcinoma.
abstract: From a clinical point of view, the most common presentations of cutaneous metastatic disease are papules and nodules. However, a wide morphological spectrum of lesions has been described, including erythematous patches or plaques, inflammatory erysipelas-like lesions, diffuse sclerodermiform lesions with induration of the skin, telangiectatic papulovesicles, purpuric plaques mimicking vasculitis, and alopecia areata like scalp lesions. The so-called zosteriform pattern has been described to be in few cases and to the best of our knowledge has never been described associated with a metastasis of a nasopharyngeal carcinoma. This case highlights the relevance of including cutaneous metastases in the differential diagnosis of patients with nonhealing herpes zoster-like lesions, especially in those with underlying neoplasm recently diagnosed.
authors.affiliation: Department of Internal Medicine, University Hospital Ramón y Cajal, Madrid, Spain.
authors.forename: Andrés
authors.initials: A
authors.lastname: González García
authors.affiliation: Department of Dermatology, University Hospital Ramón y Cajal, Madrid, Spain.
authors.forename: Emiliano Grillo
authors.initials: EG
authors.lastname: Fernández
authors.affiliation: Department of Internal Medicine, University Hospital Ramón y Cajal, Madrid, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Barbolla Díaz
authors.affiliation: Department of Dermatology, University Hospital Ramón y Cajal, Madrid, Spain.
authors.forename: Asunción
authors.initials: A
authors.lastname: Ballester
authors.affiliation: Department of Pathology, University Hospital Ramón y Cajal, Madrid, Spain.
authors.forename: Héctor
authors.initials: H
authors.lastname: Pian
authors.affiliation: Department of Internal Medicine, University Hospital Ramón y Cajal, Madrid, Spain.
authors.forename: Guadalupe
authors.initials: G
authors.lastname: Fraile