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Benign Degos' disease developing during pregnancy and followed for 10 years.
[malignant atrophic papulosis]
Degos
'
disease
,
or
malignant
atrophic
papulosis
,
is
a
rare
and
often
fatal
multisystem
vasculopathy
of
unknown
etiology
.
The
cutaneous
manifestations
comprise
erythematous
papules
,
which
heal
to
leave
scars
with
a
pathognomonic
central
porcelain-
white
atrophic
area
and
a
peripheral
telangiectatic
rim
.
Involvement
of
the
gastrointestinal
tract
is
observed
in
50
%
of
cases
,
with
intestinal
perforation
being
the
most
common
cause
of
death
.
Other
organ
systems
can
also
be
affected
;
20
%
of
cases
involve
the
central
nervous
system
.
Systemic
manifestations
usually
develop
from
weeks
to
years
after
onset
of
skin
lesions
or
,
in
rare
instances
,
may
precede
skin
lesions
.
In
the
patient
with
Degos
'
disease
reported
in
this
article
,
the
characteristic
skin
lesions
developed
during
pregnancy
,
a
precipitating
event
not
previously
reported
.
She
has
survived
an
unusually
long
time
(
10
years
)
without
visceral
or
neurological
involvement
,
despite
florid
cutaneous
lesions
.
Moreover
,
we
could
detect
the
presence
of
antiphospholipid
antibodies
,
the
significance
of
which
are
currently
unclear
.
These
observations
therefore
confirm
that
there
may
be
a
strictly
cutaneous
form
of
Degos
'
disease
with
a
favourable
prognosis
.
Diseases
Validation
Diseases presenting
"cutaneous lesions"
symptom
child syndrome
cutaneous mastocytosis
cystinuria
dystrophic epidermolysis bullosa
gm1 gangliosidosis
harlequin ichthyosis
inclusion body myositis
lamellar ichthyosis
malignant atrophic papulosis
papillon-lefèvre syndrome
systemic capillary leak syndrome
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