A 65-year-old white man presented with all the clinical features of 
acrokeratosis paraneoplastica of Bazex, characterized by violaceous erythema and 
scaling of the nose, aural helices, fingers, and toes, with keratoderma and 
severe nail dystrophy. Examination of the patient for possible associated 
malignancy disclosed an asymptomatic squamous cell carcinoma at the 
oropharyngeal region. The skin lesions resolved almost completely following 
radiation therapy of the neoplasm, but the onychodystrophy persisted. This case 
report illustrates the importance of early recognition of Bazex syndrome.