Abstract：
:A 63-year-old man with recurrent metastatic malignant melanoma presented with a painful right twelfth thoracic dermatomal eruption initially thought to be herpes zoster. However, 3 weeks later, the patient clearly had melanoma skin metastases confined exclusively to this dermatome. Radiotherapy and opiate analgesics provided effective pain relief. We propose that in this patient, no herpes zoster infection occurred, but rather that skin metastases presented in a zosteriform pattern due to lymphatic spread from a previously excised paravertebral skin metastasis. This is the second reported case of malignant melanoma presenting as zosteriform metastases, and we suggest physicians consider this possibility in patients with melanoma presenting with dermatomal skin changes.
journal_name
Cutisjournal_title
Cutisauthors
North S,Mackey JR,Jensen Jsubject
Has Abstractpub_date
1998-09-01 00:00:00pages
143-6issue
3eissn
0011-4162issn
2326-6929journal_volume
62pub_type
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