悪性腫瘍に随伴した紅皮症の2例

ERYTHRODERMIA DUE TO MALIGNANI NEOPLASMA

はじめに

　われわれは最近相ついで悪性腫瘍（骨髄性白血病，細網肉腫）に随伴して発生した紅皮症2例を経験した。紅皮症の分類は古くて新しい問題である。最近，紅皮症を独立症として考えるより，多元的にあらわれる一種の皮膚症状と解する考え方^1）2）に立つて本症を把握しようとする傾向が強い。

　われわれの2症例はまさに上述の考え方を支持する症例である。これらの2症例を報告するとともにこれら症例を基礎にして紅皮症の分類に関する一私見を述べたい。

Two cases of erythrodermia accompanied by malignant neoplasmas ; namely, subacute myeloblastic leukemia and reticulosarcomatosis were reported. Cases of erythrodermia associated with myelogenous ieukemia are rare.

Although the skin manifestations and the primary disorders in both cases subsided tempora-lily by the treatment with corticosteroids and antineoplastic drugs, they died finally.

In the first case, red miliary papules were observed when the skin manifestation imp-roved.

Erythrodermia is a kind of skin reactions to different kinds of ethiologic agents or diseases.

It is proper to classify erythrodermia into two types : acute and chronic ones.

Some cases of chronic erythrodermia occur as sequences of eczema, psoriasis or malignant neoplasmas. More cases due to malignancies in the cases of so-called idiopathic chronic erythrodermia will be proved, if we check this point in more detail.