Acquired Perforating Dermatosis as a Paraneoplastic Feature: A Case Report, Literature Review, and Novel Association

• Published in: Case reports in nephrology and dialysis Vol. 13; no. 1; pp. 36 - 44
• Main Author: Imran, Nashat
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland S. Karger AG 01.01.2023; Karger Publishers
• Subjects: acquired perforating dermatosis; Biopsy; Case reports; chronic kidney disease; Collagen; Diabetes; diabetes mellitus; dialysis; end-stage renal disease; Hemodialysis; Kidney cancer; Kidney diseases; kidney failure; kyrle’s disease; Leukemia; Literature reviews; Medical diagnosis; Metastasis; Patients; Prostate cancer; Pruritus; Single Case; Skin diseases; Steroids; End-stage renal disease; Kidney failure; Diabetes mellitus; Kyrle’s disease; Skin diseases; Chronic kidney disease; Acquired perforating dermatosis; Dialysis
• ISSN: 2296-9705; 2296-9705
• DOI: 10.1159/000530756

Kyrle’s disease is an uncommon form of acquired transepidermal elimination dermatosis frequently associated with diabetes mellitus and chronic kidney disease. An association with malignancy has been sporadically reported in the literature. Here, we describe the clinical course of a diabetic patient with end-stage renal disease who developed this disorder as a herald to a regionally advanced renal cell carcinoma. We provide a focused literature review and rationale for the definitive categorization of acquired perforating dermatosis as a potential paraneoplastic manifestation of systemic malignancies. Clinicopathological correlation and prompt communication among clinicians for occult malignancies are always warranted. Furthermore, we describe a novel association of one of the subtypes of acquired perforating dermatosis with such malignancies.