This is a well-recognized condition; it was first described by Pollitzer in 1891. This patient is reported because of the remarkable extent of the skin changes. The associated malignant growth is much more frequently in the abdomen, although neoplasms in the breast and chest have been reported.
The patient, a 79-year-old man, was admitted to the hospital in February, 1960. Up to 6 months before that time he had been perfectly healthy, apart from a prostatectomy in 1957 and the repair of a strangulated hernia in 1959. In August, 1959, he noticed he was developing dark warty growths on the arms. Six weeks later they started to appear on the legs. The present condition is shown in Figures 1, 2, 3, and 4. The lips and tongue are also involved.
General examination was negative, apart from moderate nerve deafness and a blood pressure of of 200/120. The scalp was normal.