The taxanes, paclitaxel (Taxol) and docetaxal (Taxotere), are a new class o
f anti-microtubule agents which have shown cytotoxic activity in a number o
f solid tumours. Phase I and II trials confirm that docetaxal is highly act
ive in the treatment of metastatic breast cancer Reported toxicities of doc
etaxel include, dose limiting neutropenia, alopecia, skin reactions and flu
id retention. Here we report the first case of rapid onset, diffuse sclerod
erma-like illness, which occurred in a 59-year-old female receiving treatme
nt with docetaxel for locally invasive and advanced metastatic breast cance
l.