Black Urine and Black Pleural Fluid: A Distinctive Presentation of Metastatic Melanoma

  • Samer Mishe'el Department of Medicine D, Emek Medical Center, Afula
  • Michael Ziv Department of Dermatology, Emek Medical Center, Afula
  • Naiel Bisharat Department of Medicine D, Emek Medical Center, Afula; The Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa
DOI: https://doi.org/10.12890/2016_000416

Keywords

Melanoma, pleural effusion, diffuse melanosis cutis, black urine

Abstract

Metastatic melanoma is an uncommon clinical entity which can have an unusual presentation. We describe a patient with metastatic melanoma who presented with diffuse melanosis cutis, black urine and black pleural effusion. Very few medical conditions can cause black discoloration of body fluids, so this should prompt physicians to search for a number of potential underlying causes.

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References

  • Chen ST, Geller AC, Tsao H. Update on the epidemiology of melanoma. Curr Dermatol Rep 2013;2:24–34.
  • Sebaratnam DF, Venugopal SS, Frew JW, McMillan JR, Finkelstein ER, Martin LK, et al. Diffuse melanosis cutis: a systematic review of the literature. J Am Acad Dermatol 2013;68:482–488.
  • Saraya T, Light RW, Takizawa H, Goto H. Black pleural effusion. Am J Med 2013;126:641.e1–6.
  • Singh B, Greenebaum E, Cole R. Carbon-laden macrophages in pleural fluid of crack smokers. Diagn Cytopathol 1995;13:316–319.
  • Santos AL, Ibrahim G, Mount S, Thomas C, Weise WJ. The case: a Caucasian male with dark skin, black urine, and acute kidney injury. Kidney Int 2009;76:1295–1296.

    • Published: 2016-06-07

    Issue: Vol. 3 No. 4 (view)

    Section: Articles

    How to cite:
    1.
    Mishe’el S, Ziv M, Bisharat N. Black Urine and Black Pleural Fluid: A Distinctive Presentation of Metastatic Melanoma. EJCRIM 2016;3 doi:10.12890/2016_000416.