any schools of thought about this patient?

[ianstone]

---

Members do not see this ad.

today i saw a 70 years-old woman in a oncology clinic,
she have colon cancer with colonectomy.
the interesting things is that she has tremor on hands, 1-2mm large brown spots on her fingers and toes both since she is 20s.
i remember that nerve may relate to melanin during the development.right?
so i think all she have may be all related.

what is this syndrome?

any school of thoughts?

 

[Forthegood]

To get more replies, rewrite the above in grammatical English.

 

[Melicopter]

A copper deficiency can lead to abnormal pigmentation and nerve degeneration. Total shot in the dark, though.

 

[ianstone]

To get more replies, rewrite the above in grammatical English.

eng is not my mother tongue,

i post this case because i want to share, not to ask for advise.

sorry.

 

[Aaja]

Could be a Neurofibromatosis disorder with cafe au lait pigmentation.

Copper deficiency sounds unlikely to me if this is a 1st world country patient (though the OP isn't stating any specific country).

 

[SouthernSurgeon]

Could be a Neurofibromatosis disorder with cafe au lait pigmentation.

Could be overanalytic disorder with med student diagnositis.

 

[QuaerensIntelle]

Look up Peutz-Jeghers Syndrome. Maybe that is what you were thinking of. Hereditary colon polyps and characteristic brown spots on the face and hands. I think that would be more likely if your patient was younger though.

Pretty much every elderly person I've seen has "liver spots" though, so that isn't necessarily a diagnostic finding in this patient.

 

[SouthernSurgeon]

Look up Peutz-Jeghers Syndrome. Maybe that is what you were thinking of. Hereditary colon polyps and characteristic brown spots on the face and hands. I think that would be more likely if your patient was younger though.

Except the polyps in Peutz-Jeghers are nearly always benign and wouldn't be popping up at age 70. Also the "spots" are pretty distinctive, especially on the face and mouth.

Pretty much every elderly person I've seen has "liver spots" though, so that isn't necessarily a diagnostic finding in this patient.

This. Which is why I made the sarcastic comment. Find me a 70 year old who doesn't have some abnormal skin findings and some degree of tremor.

 

[0317]

This. Which is why I made the sarcastic comment. Find me a 70 year old who doesn't have some abnormal skin findings and some degree of tremor.

Nice.

However, the OP stated that patient has had the spots since she was 20 years old; a rather youngish age.

Of course, she's lived with them for 50+ years, and they haven't killed her yet...

 

[njbmd]

Homework help and now closed