Bazex acrokeratosis is a set of pathological signs and symptoms that involve a predominantly acral psoriasiform dermatosis. It appears as a paraneoplastic syndrome associated with cancer of the upper aerodigestive tract or the cervicomediastinal area and can even appear before the tumour pathology. We present the case of a 67-year-old male, who smoked 60 cigarettes/day, with hyperkeratotic skin...