Livedo reticularis heralding hypercalcaemia of malignancy

Deepak Sundriyal; Naveen Kumar; Gaurav Kumar; Meenu Walia

doi:10.1136/bcr-2013-201371

Livedo reticularis heralding hypercalcaemia of malignancy

BMJ Case Rep. 2014 May 15:2014:bcr2013201371. doi: 10.1136/bcr-2013-201371.

Authors

Deepak Sundriyal¹, Naveen Kumar², Gaurav Kumar³, Meenu Walia¹

Affiliations

¹ Department of Medical Oncology, Dharamshila Hospital, New Delhi, India.
² Department of Internal Medicine, PGIMER & Dr Ram Manohar Lohia Hospital, New Delhi, India.
³ Department of Medicine, V.M.M.C. and Safdarjung Hospital, New Delhi, India.

Abstract

The term livedo reticularis is used to describe net-like purple rash usually on the lower limbs. It is an important clinical sign with diverse aetiologies. Hypercalcaemia is an uncommon but important clinical entity, sometimes associated with livedo reticularis. Generally, hypercalcaemia of renal failure and secondary hyperparathyroidism has been reported with this condition. We report a case of livedo reticularis heralding onset of hypercalcaemia of malignancy.

2014 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Calcitonin / therapeutic use
Carcinoma, Squamous Cell / complications
Carcinoma, Squamous Cell / diagnosis*
Carcinoma, Squamous Cell / surgery
Diphosphonates / therapeutic use
Diuretics / therapeutic use
Fluid Therapy / methods
Follow-Up Studies
Humans
Hypercalcemia / diagnosis*
Hypercalcemia / etiology
Hypercalcemia / therapy
Imidazoles / therapeutic use
Livedo Reticularis / diagnosis*
Livedo Reticularis / etiology
Livedo Reticularis / therapy
Male
Middle Aged
Monitoring, Physiologic / methods
Mouth Neoplasms / complications
Mouth Neoplasms / diagnosis*
Mouth Neoplasms / surgery
Risk Assessment
Treatment Outcome
Zoledronic Acid

Substances

Diphosphonates
Diuretics
Imidazoles
Zoledronic Acid
Calcitonin