Abstract
A sixty-seven-year old, male presented with nummular eczema-like eruptions of one year’s duration on his lower legs. Thereafter, erythroderma gradually developed. Esophageal small cell carcinoma was observed on the upper gastrointestinal tract examinations. A tumor resection was not indicated because of the presence of liver multifocused metastasis, however, chemotherapy and radiation therapy were performed. A considerable improvement of the eruptions was noted after the treatment, but the patient died of ileus with the disseminated intravascular coagulation two and a half years after the initial presentation.