| Abstract | A Raynaud's phenomenon with acral ischemia till necrosis is a rare form of a paraneoplasia. We report about a woman with a metastatic lung cancer, who was admitted because of pain in her left hand with necrosis of the fingertips and of the fifth right toe. We started a treatment with the intravenous vasodilator Iloprost, but the necroses progressed to gangrene. The course of a paraneoplastic syndrome is often determined by the underlying malignoma and if the antineoplastic treatment is ineffective, the chances to treat the paraneoplasia may be limited. |
| Authors | I Schmid, M Fliegner
(Affiliation: Stadtspital Triemli, Zürich.)
|
| Journal | Der Internist
(Internist (Berl))
Vol. 49
Issue 3
Pg. 346-8
(Mar 2008)
ISSN: 1432-1289 [Electronic] Germany |
| Vernacular Title | Digitale Ischämien bei einer Patientin mit grosszelligem Lungenkarzinom. |
| PMID | 18214409
(Publication Type: Case Reports, English Abstract, Journal Article)
|
| Topics |
- Carcinoma, Large Cell
(complications, diagnosis, therapy)
- Diagnosis, Differential
- Female
- Humans
- Lung Neoplasms
(diagnosis, therapy)
- Middle Aged
- Paraneoplastic Syndromes
(diagnosis, therapy)
- Raynaud Disease
(diagnosis, etiology, therapy)
|
