Fingermetastase fra brystkræft efter fingerkøling ved adjuverende kemoterapi

A woman was referred to adjuvant chemotherapy after radical mastectomy. Frozen gloves were used to prevent onycholysis and neurotoxicity. Because of rapid progression of the cancer she received palliative chemotherapy. Shortly after she presented with growing subungual inflammation, first suspected to be a felon, but later diagnosed as a metastasis. Acrometastasis is very rare and is often mistaken for infection. The learning point is to consider acrometastasis when treatment for felon fails in patients with a history of cancer. A possible relationship between frozen gloves and acrometastasis cannot be excluded.