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Digital necrosis with squamous cell carcinoma of the tonsil.

Warrier V, Ahmad A, Alshatti Y, Jafar A - Int Med Case Rep J (2016)

Bottom Line: Since 1965, more than 70 cases have been reported worldwide in the literature.A 54-year-old male smoker presented with Raynaud's phenomenon, proceeding to frank gangrene of the fingers.A brief discussion of the literature is also presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.

ABSTRACT

Background: Digital necrosis is a rare phenomenon of paraneoplastic syndrome associated with squamous cell carcinoma of the tonsil. Since 1965, more than 70 cases have been reported worldwide in the literature.

Case report: A 54-year-old male smoker presented with Raynaud's phenomenon, proceeding to frank gangrene of the fingers. Working up the case finally pointed toward carcinoma of the tonsil as the underlying cause - a rare paraneoplastic manifestation.

Conclusion: No definite etiology has been found to be the cause of Raynaud's phenomenon in this case of the squamous cell carcinoma of the tonsil. A brief discussion of the literature is also presented.

No MeSH data available.


Related in: MedlinePlus

Ulcerated jugulodigastric node.
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f2-imcrj-9-159: Ulcerated jugulodigastric node.

Mentions: A 54-year-old male smoker (20 pack-years) presented with bluish discoloration of the fingers of both hands, associated with pain of 1 month’s duration. He also had halitosis at the time of presentation. Examination showed a firm 2–3 cm jugulodigastric node on the right side and an enlarged ulcerated right tonsil. Distal pulses, including the radial and dorsalis pedis, were normal. The patient was not taking any medication, and the family history was unremarkable. Clinically, acrocyanosis was a possibility, and so the causes were searched for. Fine-needle aspiration cytology from the node and a biopsy from the tonsil were arranged. Meanwhile, ischemic symptoms in the hand progressed and developed into frank gangrene and necrosis. By this time the node had increased in size and developed into a fungating growth (Figures 1 and 2).


Digital necrosis with squamous cell carcinoma of the tonsil.

Warrier V, Ahmad A, Alshatti Y, Jafar A - Int Med Case Rep J (2016)

Ulcerated jugulodigastric node.
© Copyright Policy
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4930236&req=5

f2-imcrj-9-159: Ulcerated jugulodigastric node.
Mentions: A 54-year-old male smoker (20 pack-years) presented with bluish discoloration of the fingers of both hands, associated with pain of 1 month’s duration. He also had halitosis at the time of presentation. Examination showed a firm 2–3 cm jugulodigastric node on the right side and an enlarged ulcerated right tonsil. Distal pulses, including the radial and dorsalis pedis, were normal. The patient was not taking any medication, and the family history was unremarkable. Clinically, acrocyanosis was a possibility, and so the causes were searched for. Fine-needle aspiration cytology from the node and a biopsy from the tonsil were arranged. Meanwhile, ischemic symptoms in the hand progressed and developed into frank gangrene and necrosis. By this time the node had increased in size and developed into a fungating growth (Figures 1 and 2).

Bottom Line: Since 1965, more than 70 cases have been reported worldwide in the literature.A 54-year-old male smoker presented with Raynaud's phenomenon, proceeding to frank gangrene of the fingers.A brief discussion of the literature is also presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait.

ABSTRACT

Background: Digital necrosis is a rare phenomenon of paraneoplastic syndrome associated with squamous cell carcinoma of the tonsil. Since 1965, more than 70 cases have been reported worldwide in the literature.

Case report: A 54-year-old male smoker presented with Raynaud's phenomenon, proceeding to frank gangrene of the fingers. Working up the case finally pointed toward carcinoma of the tonsil as the underlying cause - a rare paraneoplastic manifestation.

Conclusion: No definite etiology has been found to be the cause of Raynaud's phenomenon in this case of the squamous cell carcinoma of the tonsil. A brief discussion of the literature is also presented.

No MeSH data available.


Related in: MedlinePlus