Schizophrenia and Parkinson ’s disease as Risk Factors for Melanoma Development and Progression!

We present a 39-year-old male patient with skin tumor, localized on the scalp, paranoid schizophrenia and an idiopathic aplastic anemia.The patient presents with a lesion in Regio occipitalis, which occurred a few years ago and progressively enlarged to a big exophytic tumor, causing pain and occasional bleeding (Figure 1a-d).The patient has been diagnosed with a paranoid schizophrenia more than ten years ago, and since then is on therapy with Amisulpride 400mg/d and Haloperidol 2x1,5 mg/d.He does not follow his therapy strictly, but hospitalization has not been necessary.In 2016 the patient has been diagnosed with idiopathic aplastic anemia and since then is on immunosuppressive therapy with Cyclosporine A 2x100mg/d.During the dermatological examination we established a well demarcated, 4x4cm, partly pigmented, exophytic tumor in Regio occipitalis with severe perilesional erythema.The lesion had erosive and necrotic areas and was covered by serous and hemorrhagic crusts with different size (Figure 1a-d).A severe and painful, cervical and occipital lymphadenomegaly was