[Digital ischemia of a patient with undifferentiated large cell lung cancer].

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
• 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)