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Digital necrosis with squamous cell carcinoma of the tonsil

Authors Warrier V, Ahmad A, Alshatti Y, Jafar A

Received 21 February 2016

Accepted for publication 17 March 2016

Published 27 June 2016 Volume 2016:9 Pages 159—162

DOI https://doi.org/10.2147/IMCRJ.S106861

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Ronald Prineas


Vinod Warrier,1 Ali Ahmad,1 Yaqoub Alshatti,1 Ali Jafar,2

1Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait; 2Department of Surgical and Interventional Sciences, University College London, Royal Free Hospital, London, UK

Background: Digital necrosis is a rare phenomenon of paraneoplastic syndrome associated with squamous cell carcinoma of the tonsil. Since 1965, more than 70 cases have been reported worldwide in the literature.
Case report: A 54-year-old male smoker presented with Raynaud’s phenomenon, proceeding to frank gangrene of the fingers. Working up the case finally pointed toward carcinoma of the tonsil as the underlying cause – a rare paraneoplastic manifestation.
Conclusion: No definite etiology has been found to be the cause of Raynaud’s phenomenon in this case of the squamous cell carcinoma of the tonsil. A brief discussion of the literature is also presented.

Keywords:
acronecrosis, digital necrosis, paraneoplastic manifestations, Raynaud’s phenomenon, squamous cell carcinoma of the tonsil

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