Zosteriform lesions in an elderly man-look beyond herpes zoster

Abstract

Cutaneous metastasis in a zosteriform pattern is a very rare entity being reported only in 63 patients worldwide. Cutaneous metastases usually presents late in the course of the disease or sometimes after the treatment of the primary when it indicates recurrence of a treated malignancy. We report a case of zosteriform cutaneous metastases masquerading as lymphangioma without prior presentation of the primary malignancy.

Zosteriform mycosis fungoides and lymphomatoid papulosis arising in an area of prior herpes zoster

“…Additional hypotheses have implicated varicella-zoster virus reactivation in the pathogenesis of MF and herpes zoster as an infectious trigger initiating MF development. 11 , 16 However, given the rarity of this clinical variant of MF in the literature, more information is still needed on the exact mechanism linking varicella-zoster virus to MF development and the role of antiviral agents in the treatment of zosteriform MF.…”

Painful grouped erythematous papules in a segmental distribution

“…Kutane Metastasen bei Primärtumoren der Lunge, Niere und des Ovars hingegen werden häufi g als Erstmanifestation des Tumorleidens beobachtet [ 1 ] . Die Prognose ist in der Regel schlecht [ 12 ] . Die Überlebenszeit nach Diagnosestellung beträgt weniger als zwölf Monate [ 9 ] .…”