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Przerzuty czerniaka złośliwego do skóry brzucha i klatki piersiowej imitujące infekcję wirusem herpes zoster – opis przypadku

Author(s): Beata Bergler-Czop | Mariola Wyględowska-Kania | Ligia Brzezińska-Wcisło

Journal: Przegląd Dermatologiczny
ISSN 0033-2526

Volume: 98;
Issue: 3;
Start page: 280;
Date: 2011;
Original page

Keywords: melanoma malignum | metastases | herpes zoster

Introduction. Melanoma is a malignant neoplasm of melanocytic origin.The risk of melanoma among the white race in Europe and USA isfrom 1/100 000 to 1/200 000.Objective. To present a case with multiple melanoma metastases to theskin of the thorax and abdomen with an atypical clinical picture mimickingherpes zoster infection.Case report. Male patient 77 years old. The primary lesion – a darkbrown nodule, 2 cm in diameter – appeared half a year earlier. Underlocal anaesthesia, the nodule was removed with a 3 cm skin margin.Two months later, multiple, non-painful, brown nodules appeared onthe left part of the chest and abdomen and were diagnosed as herpeszoster. The histopathological examination revealed melanoma metastases.Conclusions. We present a case of very fast appearance of malignantmelanoma metastases, resembling herpes zoster infection. Althoughsuch a picture is rare, it is important to take this diagnosis into accountin patients with “zoster” with no pain, resistant to antiviral treatment,and especially in patients with known melanoma history.

Tango Jona
Tangokurs Rapperswil-Jona

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