Síndrome de dedo azul como manifestación paraneoplásica: reporte de caso

Abstract

It is currently known that cancer is a prothrombotic state, in which certain coagulation factors are altered, and due to this presence of malignancy, pro-coagulation factors are secreted that contribute to a state of hypercoagulability, which triggers rapid metastasis. In addition, an increased excretion of thrombin is also evidenced, favoring clot formation. We present the clinical case of a 65-year-old man with multiple pathologies without adequate control, who presented with a neurological condition manifested by left facial paralysis, deviation of the labial commissure to the left, in addition to presenting horizontal nystagmus and gait disorders. Physical examination revealed a bluish coloration at the level of the fingers of the right lower extremity, with suspicion of vasculitis in the first instance. After several studies, a diagnosis of prostate cancer was made, bilateral orchiectomy was performed and the patient was sent for oncological pharmacological treatment. Due to his other pathologies, he is treated with antihypertensive drugs, oral antidiabetic and oral anticoagulation.