Reduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease

We present a case of extramammary Paget’s disease with bilateral inguinal lymph node metastasis treated by monthly docetaxel chemotherapy. He has also well-controlled psoriasis vulgaris for 20 years. One day after completing monthly chemotherapy, cellulitis by Group G Streptococcus occurred on both...

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Autores principales: Takehisa Nakanishi, Makoto Kondo, Yasuo Nakai, Koji Habe, Keiichi Yamanaka
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Lenguaje:EN
Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/940a7ce70a774a0cb261421c8ad68db4
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spelling oai:doaj.org-article:940a7ce70a774a0cb261421c8ad68db42021-12-02T12:40:23ZReduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease1662-657510.1159/000519589https://doaj.org/article/940a7ce70a774a0cb261421c8ad68db42021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/519589https://doaj.org/toc/1662-6575We present a case of extramammary Paget’s disease with bilateral inguinal lymph node metastasis treated by monthly docetaxel chemotherapy. He has also well-controlled psoriasis vulgaris for 20 years. One day after completing monthly chemotherapy, cellulitis by Group G Streptococcus occurred on both legs, resulting in septic shock and disseminated intravascular coagulation. During the infection, the tumor nodule volume and the exudate from the tumor decreased, and tumor markers carcinoembryonic antigen and cancer antigen 19-9 showed low values. Simultaneously, the psoriatic eruption reoccurred. We proposed that cytokine storm including tumor necrosis factor-alpha (TNF-α) during sepsis might have suppressed tumor lesions, and also TNF-α-dependent psoriatic rash appeared temporarily on his body.Takehisa NakanishiMakoto KondoYasuo NakaiKoji HabeKeiichi YamanakaKarger Publishersarticletumor necrosis factor-alphapsoriasis vulgarisextramammary paget’s diseasegroup g streptococcal infectioncytokine stormNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1591-1595 (2021)
institution DOAJ
collection DOAJ
language EN
topic tumor necrosis factor-alpha
psoriasis vulgaris
extramammary paget’s disease
group g streptococcal infection
cytokine storm
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle tumor necrosis factor-alpha
psoriasis vulgaris
extramammary paget’s disease
group g streptococcal infection
cytokine storm
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Takehisa Nakanishi
Makoto Kondo
Yasuo Nakai
Koji Habe
Keiichi Yamanaka
Reduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease
description We present a case of extramammary Paget’s disease with bilateral inguinal lymph node metastasis treated by monthly docetaxel chemotherapy. He has also well-controlled psoriasis vulgaris for 20 years. One day after completing monthly chemotherapy, cellulitis by Group G Streptococcus occurred on both legs, resulting in septic shock and disseminated intravascular coagulation. During the infection, the tumor nodule volume and the exudate from the tumor decreased, and tumor markers carcinoembryonic antigen and cancer antigen 19-9 showed low values. Simultaneously, the psoriatic eruption reoccurred. We proposed that cytokine storm including tumor necrosis factor-alpha (TNF-α) during sepsis might have suppressed tumor lesions, and also TNF-α-dependent psoriatic rash appeared temporarily on his body.
format article
author Takehisa Nakanishi
Makoto Kondo
Yasuo Nakai
Koji Habe
Keiichi Yamanaka
author_facet Takehisa Nakanishi
Makoto Kondo
Yasuo Nakai
Koji Habe
Keiichi Yamanaka
author_sort Takehisa Nakanishi
title Reduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease
title_short Reduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease
title_full Reduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease
title_fullStr Reduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease
title_full_unstemmed Reduction in Tumor Lesions and Exacerbation of Psoriatic Rash after Septic Shock in a Patient with Extramammary Paget’s Disease
title_sort reduction in tumor lesions and exacerbation of psoriatic rash after septic shock in a patient with extramammary paget’s disease
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/940a7ce70a774a0cb261421c8ad68db4
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AT makotokondo reductionintumorlesionsandexacerbationofpsoriaticrashaftersepticshockinapatientwithextramammarypagetsdisease
AT yasuonakai reductionintumorlesionsandexacerbationofpsoriaticrashaftersepticshockinapatientwithextramammarypagetsdisease
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