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Paraneoplastic acrokeratosis (Bazex syndrome) is a dermatosis associated with underlying malignancy, most often with squamous cell carcinoma of the upper aerodigestive tract (1). It typically occurs in middle-aged or older men with papulosquamous plaques over acral areas. During the course of the dermatosis skin symptoms spread over the trunk, extremities and scalp (1). Histological findings of paraneoplastic acrokeratosis are variable and the diagnosis is based on clinical findings (1, 2). In most cases cutaneous findings precede the malignant process for months or even a year (3, 4).

Acrokeratosis Paraneoplastica-like Findings as a Manifestation of Systemic Lupus Erythematosus