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Kohlmeier-Degos disease: a multisystem vasculopathy with progressive cerebral infarction.
[malignant atrophic papulosis]
Kohlmeier-
Degos
disease
,
or
malignant
atrophic
papulosis
,
is
a
rare
and
clinically
distinctive
vasculopathy
characterised
by
cutaneous
features
with
frequent
gastrointestinal
and
neurological
involvement
and
,
almost
invariably
,
with
fatal
outcome
.
The
case
is
reported
of
a
22
-
year
-old
male
who
died
of
progressive
cerebral
infarction
nine
months
from
the
time
of
development
of
pathognomonic
skin
lesions
.
Treatments
with
anti-
platelet
agents
and
plasma
exchange
were
ineffectual
in
altering
the
progressive
course
of
the
disease
.
At
autopsy
,
there
was
an
extensive
small
vessel
occlusive
vasculopathy
with
similar
features
in
skin
,
brain
and
bowel
wall
.
The
aetiology
of
Kohlmeier-
Degos
disease
remains
unknown
.
Diagnosis
is
on
clinico-pathological
grounds
.
Awareness
of
the
disease
is
important
,
particularly
in
the
differential
diagnosis
of
cerebrovascular-arteritic-syndromes
presenting
in
young
adults
.
Diseases
Validation
Diseases presenting
"platelet agents"
symptom
malignant atrophic papulosis
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