A case of lung cancer with unilateral anhidrosis and contralateral hyperhidrosis as the first clinical manifestation Juri Nishimura, MD, Yasuhiko Tamada,

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Presentation transcript:

A case of lung cancer with unilateral anhidrosis and contralateral hyperhidrosis as the first clinical manifestation Juri Nishimura, MD, Yasuhiko Tamada, MD, PhD, Satoshi Iwase, MD, PhD, Akihito Kubo, MD, PhD, Daisuke Watanabe, MD, PhD, Yoshinari Matsumoto, MD, PhD Journal of the American Academy of Dermatology Volume 65, Issue 2, Pages 438-440 (August 2011) DOI: 10.1016/j.jaad.2010.01.043 Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, Results of sweat testing using one-step iodine-starch method demonstrated hyperhidrosis in left T3 to T4 dermatomes and right T1 to T2 and T5 dermatomes (red broken line), accompanied by anhidrosis of the right T3 to T4 dermatomes (blue broken line). B, Thermography showed increase in body surface temperature in anhidrotic areas (red arrows) and decrease in body surface temperature in hyperhidrotic areas (blue arrow). Journal of the American Academy of Dermatology 2011 65, 438-440DOI: (10.1016/j.jaad.2010.01.043) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 MRI revealed abnormal signals in right side of Th4 vertebra (A, arrowhead), third and fourth ribs, and right lung (B, arrowheads). C, Enhanced CT revealed solid lung mass in dorsal right upper-lobe with invasion into right fourth rib (arrowheads). Journal of the American Academy of Dermatology 2011 65, 438-440DOI: (10.1016/j.jaad.2010.01.043) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions