<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2795-5001</journal-id>
<journal-title><![CDATA[Portuguese Journal of Dermatology and Venereology]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Dermatol Venereol.]]></abbrev-journal-title>
<issn>2795-5001</issn>
<publisher>
<publisher-name><![CDATA[Permanyer Publications]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2795-50012023000300213</article-id>
<article-id pub-id-type="doi">10.24875/pjdv.23000003</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Hand, foot, and mouth disease and palmoplantar erythrodysesthesia in a breast cancer patient: a challenging diagnosis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Doença mão-pé-boca e eritrodisestesia palmo-plantar em doente com neoplasia da mama]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mancha]]></surname>
<given-names><![CDATA[Dora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brazão]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garrido]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares-de-Almeida]]></surname>
<given-names><![CDATA[Luís]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Filipe]]></surname>
<given-names><![CDATA[Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário de Lisboa Norte Hospital de Santa Maria Dermatology Service]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Faculdade de Medicina da Universidade de Lisboa Clínica Universitária de Dermatologia ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Lisboa Instituto de Medicina Molecular Dermatology Research Unit]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>81</volume>
<numero>3</numero>
<fpage>213</fpage>
<lpage>216</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2795-50012023000300213&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2795-50012023000300213&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2795-50012023000300213&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Cancer patients may experience several dermatological symptoms during treatment. We describe a case of synchronous presentation of hand, foot, and mouth disease (HFMD) and palmoplantar erythrodysesthesia (PPE) in a breast cancer patient. A 36-year-old female breast cancer patient under chemotherapy presented to our consult with a 1-week history of painful palmoplantar lesions associated with the recent onset of fever and dry cough. Her daughter had been diagnosed with HFMD. There was a positive immunoglobulin M (IgM) and IgG serology for coxsackievirus. We performed two skin biopsies; one specimen was consistent with HFMD, and the other one was with PPE. To the best of our knowledge, the synchronous presentation of HFMD and PPE has not yet been reported in the literature to date. PPE and immunosuppression might have been responsible for the atypical presentation and clinical severity of HFMD.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O tratamento oncológico está associado a inúmeros efeitos adversos cutâneos&#8211;muitos deles já relatados na literatura. Descrevemos o caso de uma mulher com 36 anos, com antecedentes pessoais de neoplasia da mama, sob esquema de quimioterapia endovenosa, que recorreu à consulta por uma dermatose palmo-plantar dolorosa, associada a febre e tosse seca, com uma semana de evolução. Referia ter estado em casa a cuidar da filha de 18 meses, com o diagnóstico de doença mão-pé-boca (DMPB) há cerca de três dias. Analiticamente com leucopenia, PCR 12,2 mg/dL e serologia para coxsackievirus positiva (IgM, IgG). Foram realizadas duas biópsias cutâneas; uma amostra consistente com a DMPB e a outra com eritrodisestesia palmo-plantar (EPP). É o primeiro caso descrito na literatura de apresentação síncrona DMPB e EPP. A EPP associada à imunossupressão poderá ter sido responsável pela exacerbação da DMPB neste caso.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cancer]]></kwd>
<kwd lng="en"><![CDATA[Coxsackievirus]]></kwd>
<kwd lng="en"><![CDATA[Erythrodysesthesia]]></kwd>
<kwd lng="en"><![CDATA[Immunosuppression]]></kwd>
<kwd lng="en"><![CDATA[Palmoplantar]]></kwd>
<kwd lng="en"><![CDATA[Neoplasm]]></kwd>
<kwd lng="pt"><![CDATA[Câncer]]></kwd>
<kwd lng="pt"><![CDATA[Coxsackievirus]]></kwd>
<kwd lng="pt"><![CDATA[Eritodisestesia]]></kwd>
<kwd lng="pt"><![CDATA[Imunossupressão]]></kwd>
<kwd lng="pt"><![CDATA[Palmoplantar]]></kwd>
<kwd lng="pt"><![CDATA[Neoplasia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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