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Bullous pemphigoid as a dermadrome associated with spindle cell carcinoma of the gallbladder
Author(s) -
UMEKOJI Ayano,
TSURUTA Daisuke,
INOUE Toru,
NISHIMORI Takeo,
ISHII Masamitsu
Publication year - 2010
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2009.00795.x
Subject(s) - medicine , malignancy , gallbladder , bullous pemphigoid , histopathology , carcinoma , cholecystectomy , pemphigoid , spindle cell carcinoma , pathology , gastroenterology , radiology , dermatology , immunology , antibody
Skin disorders that appear in association with internal malignancies are called dermadromes. Bullous pemphigoid (BP), which is a major autoimmune disease of the skin, is considered to be a dermadrome, although there have been conflicting reports. We report a case of BP that preceded the diagnosis of an internal malignancy. Although we could not detect any malignancies on chest, abdominal or pelvic computer tomography on the first hospital admission, intensive screening on the third admission revealed a gallbladder malignancy. Laparoscopic cholecystectomy was performed. Histopathology showed a spindle cell carcinoma of the gallbladder. To the best of our knowledge, this is the first report of a spindle cell carcinoma of the gallbladder in a patient with BP.