ABSTRACT
This chapter presents the case study of a 59-year-old woman. A 59-year-old woman presents with a gradually worsening eruption over 7 weeks. The eruption is pruritic and has not responded to the application of emollients and moderately potent topical glucocorticoids. She has no previous history of skin lesions and reports that she is otherwise well, although she has a poor appetite and has lost 8 kg body weight over the past three months. She works as a shop assistant and consumes 10 units of alcohol per week. Her striking skin eruption involves the trunk, limbs and neck. There are widespread macular erythematous bands with a wood-grain–like and whorled concentric configuration and fine scaling along the borders. Resection of the malignancy and lymph node dissection resulted in rapid resolution of the skin eruption. Patients presenting with the eruption should be investigated for underlying systemic disease and in particular malignancy.
