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Small bowel fistulae in Degos' disease: a case report and literature review.
[malignant atrophic papulosis]
Degos
'
disease
(
malignant
atrophic
papulosis
)
is
a
rare
,
progressive
,
small
-
and
medium-size
arterial
occluding
disease
,
leading
to
tissue
infarction
and
initially
involving
the
skin
.
We
report
a
case
with
bowel
involvement
followed
by
enterocutaneous
fistulae
.
Diagnostic
laparoscopy
with
jejunal
biopsy
was
followed
by
jejunal
perforations
,
peritonitis
,
and
fistulae
leading
to
death
after
a
4
-
month
course
in
the
intensive
care
unit
.
The
usual
treatment
of
enterocutaneous
fistula
by
somatostatin
and
parenteral
nutrition
was
ineffective
in
this
case
.
The
course
of
the
disease
in
our
patient
was
not
usual
,
as
can
be
seen
in
a
literature
review
underlining
the
specific
features
of
Degos
'
disease
.
Laparoscopy
and
bowel
biopsy
should
be
avoided
in
this
context
.
Degos
'
disease
should
be
considered
in
the
differential
diagnosis
of
a
primary
ulceration
of
the
small
intestine
.
Diseases
Validation
Diseases presenting
"bowel involvement"
symptom
malignant atrophic papulosis
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