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Malignant atrophic papulosis.
[malignant atrophic papulosis]
We
describe
a
34
-
year
-old
woman
presenting
with
a
1
-
year
history
of
asymptomatic
,
atrophic
papules
disseminated
mainly
on
the
trunk
.
The
clinical
features
were
characteristic
of
malignant
atrophic
papulosis
,
and
the
histopathologic
features
were
confirmatory
.
The
etiology
of
this
rare
condition
,
described
for
the
first
time
in
1941
,
remains
unknown
.
Also
the
pathogenesis
is
still
controversial
.
A
vascular
disorder
has
been
postulated
by
most
authors
,
primary
inflammatory
or
thrombotic
vascular
changes
as
well
as
primary
endothelial
proliferation
being
often
mentioned
in
the
literature
.
In
the
present
case
,
the
biopsy
specimen
of
a
recent
efflorescence
showed
these
three
alterations
all
together
,
making
it
impossible
to
identify
conclusively
the
primary
event
.
Thrombosis
,
being
already
noticed
in
such
early
lesions
,
is
likely
to
be
of
pathogenic
importance
.
Rheological
therapy
as
described
in
the
literature
may
therefore
be
the
most
appropriate
.
In
the
present
case
,
the
lesions
came
spontaneously
to
a
standstill
without
drug
therapy
.
Diseases
Validation
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"first time"
symptom
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holt-oram syndrome
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von hippel-lindau disease
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zellweger syndrome
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