Assuntos
Trombose Intracraniana/genética , Janus Quinase 2/genética , Mutação , Transtornos Mieloproliferativos/genética , Trombose Venosa/genética , Idoso , Feminino , Predisposição Genética para Doença , Humanos , Trombose Intracraniana/diagnóstico , Trombose Intracraniana/enzimologia , Trombose Intracraniana/terapia , Masculino , Pessoa de Meia-Idade , Transtornos Mieloproliferativos/complicações , Transtornos Mieloproliferativos/diagnóstico , Transtornos Mieloproliferativos/enzimologia , Transtornos Mieloproliferativos/terapia , Fenótipo , Fatores de Risco , Resultado do Tratamento , Trombose Venosa/diagnóstico , Trombose Venosa/enzimologia , Trombose Venosa/terapiaRESUMO
INTRODUCTION: Skin cancer occurs more readily in more aggressive forms in immunodepressed subjects. We report the case of a patient with chronic lymphoid leukaemia and multiple skin carcinomas complicated with carcinomatous lymphangitis. CASE REPORT: A 63 year-old man with chronic lymphoid leukaemia, stage A in the Binet classification, had multiple epidermoid carcinomas on the trunk and face. The skin tumours were complicated with cervical lymph mode metastases, then a prethoracic carcinomatous lymphangitis with a rapidly fatal clinical course. DISCUSSION: Chronic lymphoid leukaemia and lymphomas are associated with a high incidence of skin carcinoma. The immunodepression inherent in the haematologic disease would appear to favor aggressive skin cancers. Our case was particularly severe since the carcinomatous lymphangitis was rapidly fatal.