Paraneoplastic acral vascular syndrome: case presentation and literature review

Sara AlRasbi, Amira H Al-Badi, Abdullah M Al Alawi

Research output: Contribution to journalArticlepeer-review

Abstract

A 65-year-old man, a smoker, presented to the emergency department with progressive digital ischaemia, fever and weight loss. The clinical examination revealed generalised lymphadenopathy and ischaemic changes of the right distal phalanges of the second, third and fourth fingers. He had an ultrasound-guided biopsy of the cervical lymph node, which showed histopathological findings of classic Hodgkin's lymphoma. Paraneoplastic acral vascular syndrome (PAVS) is a rare phenomenon and seen more in solid malignancies. There are very few reported cases of PAVS in haematological malignancies, including Hodgkin's lymphoma. This case highlights the idea that the presence of acral vascular syndrome-especially in older patients-should alert physicians to search for an underlying malignancy as part of the medical evaluation. Also, it shows that medical treatment may slow the progress of the digital ischaemia until the culprit tumour has been identified and treated.

Original languageEnglish
JournalBMJ Case Reports
Volume14
Issue number1
DOIs
Publication statusPublished - Jan 15 2021

Keywords

  • Aged
  • Fingers/blood supply
  • Hodgkin Disease/complications
  • Humans
  • Male
  • Paraneoplastic Syndromes/etiology
  • Vascular Diseases/etiology

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