Dalcin D, Manser C, Mahler R. Malignant Down: Hypertrichosis Lanuginosa Acquisita Associated With Endometrial Adenocarcinoma.
J Cutan Med Surg 2015;
19:507-10. [PMID:
25882714 DOI:
10.1177/1203475415582319]
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Abstract
BACKGROUND
Skin changes often signal systemic disease. Hypertrichosis lanuginosa acquisita (HLA) is a well-recognized symptom of internal malignancy defined as the adult onset of colourless, fine, lanugo-type hairs. To our knowledge, only 5 cases of HLA associated with endometrial malignancy have been reported in the literature.
OBJECTIVE
The objective of this report is to describe the clinical presentation of a patient with HLA associated with endometrial adenocarcinoma.
METHODS
We report a patient presenting with atypical lanugo and weight loss who was diagnosed with HLA associated with endometrial adenocarcinoma. We summarize and critically review the 5 other known cases of endometrial malignancy associated with HLA reported in the literature.
RESULTS
The ectopic adult development of lanugo hair led to the diagnosis of endometrial adenocarcinoma. The diagnosis was made following computed tomography imaging and was confirmed by biopsy.
CONCLUSION
Continued vigilance and reporting of HLA will increase identification and understanding of this rare paraneoplastic condition. Family physicians should be aware of HLA.
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