Malignant Atrophic Papulosis Presenting with Intestinal Perforation: A Case Report.

Abstract

Malignant atrophic papulosis sometimes known as Degos' disease is an idiopathic, uncommon condition with fewer than 200 occurrences documented. It is a chronic thrombo-obliterative vasculopathy characterised by papular skin lesions with a core porcelain-white atrophy and a surrounding telangiectatic border. We report a 15-year-old male patient with a recurrent history of hollow viscus perforation, which was managed on all the occasions with exploratory laparotomy and primary perforation repair. Additionally, the patient had a five month history of numerous, non-itchy, atrophic papules with a core porcelain-like area and hyperkeratotic margins, characteristic of Degos' disease. The only basis for diagnosis is the distinctive skin lesions with biopsy. Along with systemic lupus erythematosus and other connective tissue diseases, tuberculosis must also be taken into account while assessing the clinical presentation of malignant atrophic papulosis. There is currently no known treatment for malignant atrophic papulosis that has been effective.

Keywords:

case reports; intestinal perforation; malignant atrophic papulosis; ulcer; vasculitis.

• Authors: Asmita Paudel, Min Raj Bhurtel, Ashok Gautam, Amrit Gautam, Mamata Bista, Pragyat Singh
• Journal: JNMA; journal of the Nepal Medical Association (JNMA J Nepal Med Assoc) Vol. 61 Issue 262 Pg. 549-551 (Jun 01 2023) ISSN: 1815-672X [Electronic] Nepal
• PMID: 37464847 (Publication Type: Case Reports, Journal Article)

Chemical References

• Dental Porcelain

Topics

• Male
• Humans
• Adolescent
• Malignant Atrophic Papulosis (complications, diagnosis, drug therapy)
• Intestinal Perforation (diagnosis, etiology, surgery)
• Dental Porcelain (therapeutic use)
• Skin Diseases
• Diagnosis, Differential
• Skin (pathology)