Henry Foong, FRCP (Edin), Consultant Dermatologist,
Ipoh Specialist Hospital, Ipoh, Malaysia on February
20, 2008
Great teaching and classical case! Walter Shelley MD, PhD wrote
a nice piece on Andre Bazex in his "Classics in Clinical
Dermatology" .
Andre Bazex was born on February 14, 1911 in Montestruc,
Sur Gers, France. Andre grew up in Auer as the son of the local
physician who died when Andre was 14. Determined to follow in
his father's footsteps he went to Toulouse for medical training
and specialization in Dermatology under famed Professor Andre
Nanta
By 1941 he was Director of the Venereological Department........Read
on "Andre
Bazex and Bazex Syndrome"
Amor Khachemoune, MD,Assistant Professor, Ronald O.
Perelman Department of Dermatology, New York University School
of Medicine, New York, NY, USA on February 20, 2008
Yes, agree. Well documented case.
Ian McColl MBChB,
FACD, Consultant
Dermatologist, John Flynn Medical Centre, Tugun, Queensland,
Australia on February 20, 2008
Great convincing images of a rare condition but with the malignancy
in the classical upper airways or digestive tract and with a
cervical node. They dont come more classical than this case!
Robert Rudolph MD, FACP, Clinical Professor of Dermatology,
University of Pennsylvania, Philadelphia, PA, USA on
Feb 20, 2008
Excellent case, and very instructive.
Question: If the node had not been present, would you still
have considered Bazex based just on the ears and hands, with
no changes in the nails or other psoriasiform lesions?
Congratulations on a "fine call".
Shahbaz Janjua MD, Dermatologist, Ayza Skin & Research
Center, Lalamusa, Pakistan on February 20, 2008
It's a great case and the images are of very high quality.
Congrats! I can also appreciate nail dystrophy (subungual hyperkeratosis
and nail flaking) in the toe nails. What was the duration between
the appearance of cutaneous lesions and the diagnosis of associated
internal malignancies in this case?
Nico Mousdicas M.D., Associate Professor, Department
of Dermatology, Indiana University, Indianapolis, indiana, USA
on Feb 21, 2008
Thanks for sharing a great case. Great pictures too!
Devinder Mohan Thappa M.D., Professor and Head, Dermatology
and STD Department, JIPMER, Pondicherry, India on Feb
21, 2008
Excellent, concise and illustrative presentation
Update: Eric Ehrsam MD, Dermatologist, Lille, France
on Feb 21, 2008
The patient only consulted me because he complained of pains
on his fingers. He did not have dysphagia or other symptoms.
The left lymph node on the picture was apparent only when the
patient turn his face to the right. He was a heavy smoker. I
suspected the diagnosis at first glance and the presence of
the lymph node was another main argument.
Arash Abtahian MD, Resident, Shiraz, Iran
on Feb 22, 2008
The patient had had every thing for the this diagnosis and
it has been the classical case of acrokeratosis paraneoplastica
of Bazex.
Abbas Alshammari MD, Consultant dermatologist, Qatar
Armed Forces Clinic, Doha, Qatar on Feb 22, 2008
Interesting and instructive case. Odd cases should be evaluated
systemically with proper history and physical examination. Creative
dermatologist should be good internist.
Omid Zargari MD, Rasht, Iran on Feb 22, 2008
Great case with excellent images. There are still many unanswered
questions about paraneoplastic dermatoses.
For example, why the majority of cases of Bazex syndrome are
men? Why is it connected to SCC rather than other types of carcinomas?
As I am interested in skin diseases of the nose, I'm very
much interested to see a picture of nose involvement (if any)
in this case.
Merci pour le partage, docteur Ehrsam!
Stelios Minas MD, Consultant Dermatologist, Limassol,
Cyprus on Feb 23, 2008
Excellent presentation. Typical case of Bazex syndome. I just
want to add one point. In my little practice I see some cases
of Bazex syndrome with sign of Leser-Trélat. How often
do you see this combination?
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