Acrokeratosis paraneoplastica is a rare paraneoplastic syndrome commonly 
affecting males over 40 years of age. There exists a strong association with 
squamous cell carcinoma (SCC) of the upper aerodigestive tract or cervical 
metastatic disease originating from an unknown primary. We report a case 
associated with SCC of the right tonsil with persistent paraneoplastic cutaneous 
lesions 2 years after successful treatment of the underlying neoplasm.