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Updated: Aug 1, 2026

Longitudinal In Vivo Imaging of the Cerebrovasculature: Relevance to CNS Diseases
Published on: December 6, 2016
Kohlmeier-Degos disease: a multisystem vasculopathy with progressive cerebral infarction
J N Burrow1, P C Blumbergs, P V Iyer
1Royal Adelaide Hospital, SA.
Kohlmeier-Degos disease, a rare vasculopathy, presents with skin lesions and often involves the brain and gut, leading to a fatal outcome. This case highlights the disease's progressive nature and lack of effective treatments.
Area of Science:
- Vascular Medicine
- Dermatology
- Neurology
Background:
- Kohlmeier-Degos disease (Malignant Atrophic Papulosis) is a rare, fatal vasculopathy.
- It is characterized by distinctive skin lesions and frequent gastrointestinal and neurological complications.
Observation:
- A case report details a 22-year-old male with progressive cerebral infarction.
- The patient developed characteristic skin lesions, followed by neurological decline over nine months.
Findings:
- Autopsy revealed extensive small vessel occlusive vasculopathy affecting the skin, brain, and bowel.
- Treatments including anti-platelet agents and plasma exchange were ineffective.
Implications:
- The etiology of Kohlmeier-Degos disease remains unknown.
- Diagnosis relies on clinico-pathological findings.
- Increased awareness is crucial for differential diagnosis in young adults with cerebrovascular-arteritic syndromes.
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