[An unexpected discovery in a patient suffering from chronic prurigo]. / Eine unerwartete Entdeckung bei einer Patientin mit chronischer Prurigo.

We report on a 61-year-old woman with a sudden onset of itching and nodules on the skin for the last year. Chronic prurigo (CPG) was diagnosed. An extensive and interdisciplinary check-up revealed metastasized ovarian cancer. Radical surgery and chemotherapy followed. The CPG has completely healed and has not relapse. We believe this case to represent paraneoplastic CPG. This case report also demonstrates that the etiology of CPG can be identified and that a detailed workup is worthwhile and can be life-saving.

[Pitfalls in occupational dermatology]. / Besondere Fallstricke in der Berufsdermatologie.

Occupational dermatology has become a vibrant and interesting specialty, particularly in recent years. This includes more than hand eczema (HE). The increasing prevalence of atopic dermatitis (AD) has led to an increase of atopic hand eczema which can be worsened in certain occupations. New systemic therapies have improved the range of treatments for HE. The current guideline on hand eczema includes a variety of topical and systemic therapies. Nevertheless, in daily occupational dermatological practice, there are still chronic cases, especially vesicular hand eczema. They can often not be assigned to a clear cause, which is often a problem for those who are affected. In addition, co-factors such as chronic infectious comorbidities and psychological factors/illnesses must be considered. We present challenges in occupational dermatology by reporting special cases.