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Case Reports in Dermatological Medicine
Volume 2015 (2015), Article ID 415393, 3 pages
Case Report

A Rare Case of Zosteriform Cutaneous Metastases from a Nasopharyngeal Carcinoma

1Department of Internal Medicine, University Hospital Ramón y Cajal, Madrid, Spain
2Department of Dermatology, University Hospital Ramón y Cajal, Madrid, Spain
3Department of Pathology, University Hospital Ramón y Cajal, Madrid, Spain

Received 3 July 2015; Accepted 15 October 2015

Academic Editor: Jacek Cezary Szepietowski

Copyright © 2015 Andrés González García et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


From a clinical point of view, the most common presentations of cutaneous metastatic disease are papules and nodules. However, a wide morphological spectrum of lesions has been described, including erythematous patches or plaques, inflammatory erysipelas-like lesions, diffuse sclerodermiform lesions with induration of the skin, telangiectatic papulovesicles, purpuric plaques mimicking vasculitis, and alopecia areata like scalp lesions. The so-called zosteriform pattern has been described to be in few cases and to the best of our knowledge has never been described associated with a metastasis of a nasopharyngeal carcinoma. This case highlights the relevance of including cutaneous metastases in the differential diagnosis of patients with nonhealing herpes zoster-like lesions, especially in those with underlying neoplasm recently diagnosed.