International Journal of Health Sciences & Research (www.ijhsr.org) 353 Vol.7; Issue: 2; February 2017 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Case Report Carcinoma Erysipeloides: Cutaneous Metastasis Mimicking Benign Disorder Dr Archit Gupta 1 , Dr Shikha Sharma 2 , Dr Mudita Gupta 3 , Dr Anchana Gulati 4 1 Postgraduate Student, Department of General Surgery, Indira Gandhi Medical College, Shimla. 2 Postgraduate student, 3 Assistant Professor, Department of Dermatology, Venereology and Leprosy, Indira Gandhi Medical College, Shimla 4 Associate Professor, Department of Pathology, Indira Gandhi Medical College, Shimla Corresponding Author: Dr Archit Gupta Received: 29/12/2016 Revised: 13/01/2017 Accepted: 18/01/2017 ABSTRACT Carcinoma erysipeloides (CE) is an uncommon form of cutaneous metastasis which presents as indurated erythematous plaques with raised margins. It is caused by malignant infiltration of dermal lymphatics. CE may be the first manifestation of an unknown primary or may be seen at any other stage of active carcinoma or even after treatment. It mimics many benign conditions hence diagnosis may be delayed .We present two cases of carcinoma breast with CE. Key words - Carcinoma erysipeloides, cutaneous metastasis INTRODUCTION Carcinoma erysipeloides (CE), sometimes known as inflammatory carcinoma is an uncommon but unique form of cutaneous metastasis. It is most frequently associated with carcinoma of breast but can be associated with other tumors also. [1] CE may be primary, when inflammatory changes and malignancy occur at the same time and secondary when erysipeloides occurs in a known case of malignancy. [2] Primary CE is very rare and if at all seen is usually in breast carcinoma. [1] Here we present two cases of CE. Our first case was a 42-year female who presented to us with cutaneous lesions on right side of chest not responding to treatment. Our second case was a 48 year female who was a known case of invasive carcinoma of right breast had undergone breast reconstructive surgery with axillary clearance who presented to us after a year with itchy lesions on right side of chest. Histopathology of both cases showed CE. CASE REPORT Case 1 A 42-year female presented in dermatology clinic with complaints of red raised mildly -itchy, painless, non-oozy lesions over the right side of the chest extending from right axilla to the flank for 3 months. Lesions were initially few in number and rapidly involved right side of the chest and abdomen in a period of 2-3 weeks. She consulted a general practioner for these lesions where she was suspected to be having contact dermatitis and was prescribed topical super potent steroids. There was slight subsidence of lesions but they did not disappear. No h/o any other systemic complaints were present. General physical examination was within normal limits. On local examination there was diffuse erythema on right side of chest extending from right axilla to right flank –