Papuloerythroderma of Ofuji

A 83-year-old Caucasian woman presented with pruritic, red and scaly lesions over her entire body since a few weeks. The skinfolds were not affected, the so called 'deck chair sign'. Skin biopsies revealed a superficial perivascular lymphocytic infiltrate with eosinophils. There was also a peripheral blood eosinophilia. The sparing of skin folds, the peripheral blood eosinophilia and the histologic picture made the diagnosis papuloerythroderma of Ofuji likely. UVB light therapy was started in combination with clobetasol propionate ointment once a day with temporarily result. Papuloerythroderma is considered as a paraneoplastic phenomenon. The patient chose not to be referred to the department of Internal Medicine for further investigations in view of her age and lack of further symptoms.