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A fatal case of malignant atrophic papulosis (Degos' disease) in a man with factor V Leinden mutation and lupus anticoagulant.
[malignant atrophic papulosis]
Malignant
atrophic
papulosis
(
Degos
'
disease
)
is
a
very
rare
condition
characterized
by
atrophic
papular
skin
lesions
and
variable
association
of
systemic
involvement
.
We
describe
a
33
-
year
-old
man
who
presented
with
a
widespread
skin
eruption
consistent
with
malignant
atrophic
papulosis
.
During
the
course
of
the
disease
he
even
developed
penile
ulcerations
,
a
symptom
that
has
been
reported
only
a
few
times
previously
.
He
subsequently
died
of
multiple
perforations
of
the
small
bowel
2
.
5
years
after
onset
of
the
disease
.
Laboratory
investigations
revealed
a
mutation
of
factor
V
Leiden
and
the
presence
of
lupus
anticoagulant
,
but
no
anti-cardiolipin
antibodies
.
The
patient
was
treated
with
narrow
-band
ultraviolet
(
UV
)
B
,
prednisolone
and
,
later
,
aspirin
,
pentoxifyllin
and
warfarin
.
Despite
this
very
intensive
anticoagulant
and
anti-
platelet
therapy
,
the
treatment
had
no
effect
on
the
skin
lesions
and
could
not
prevent
systemic
involvement
.
Diseases
Validation
Diseases presenting
"skin lesions"
symptom
child syndrome
cowden syndrome
cutaneous mastocytosis
cystinuria
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
familial mediterranean fever
focal myositis
gm1 gangliosidosis
heparin-induced thrombocytopenia
hirschsprung disease
junctional epidermolysis bullosa
lamellar ichthyosis
liposarcoma
lymphangioleiomyomatosis
malignant atrophic papulosis
oligodontia
omenn syndrome
papillon-lefèvre syndrome
primary effusion lymphoma
proteus syndrome
severe combined immunodeficiency
sneddon syndrome
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
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