Mesh : Aged Antirheumatic Agents / therapeutic use Arthritis, Rheumatoid / complications pathology therapy Female Humans Immunocompromised Host Lung Neoplasms / complications pathology therapy Methotrexate / therapeutic use Molluscum Contagiosum / complications pathology therapy Pneumonectomy

来  源:   DOI:10.1007/s00296-010-1696-7   PDF(Sci-hub)

Abstract:
A 67-year-old woman with rheumatoid arthritis (RA) treated with systemic prednisolone and methotrexate over 20 years developed eruptive molluscum contagiosums on the trunk and extremities. Investigation revealed lung cancer 2 years later. Newly development of molluscum contagiosums ceased after the surgical operation of lung cancer. Immunologic dysfunctions have been shown in RA, and especially patients under long-term methotrexate therapy are susceptible to miscellaneous skin conditions. Eruptive molluscum contagiosums are induced in association with hematologic malignancies such as lymphoma, leukemia, and HIV infection; however, it is important to investigate internal malignancies, not only hematologic malignancies but also solid cancers, when patients with RA under immunosuppressive therapies presented eruptive or disseminated molluscum contagiosums.
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