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Case for diagnosis.

Lourenço de Azevedo Lima1, Natacha de Carvalho Mello Haddad1, Ricardo Barbosa Lima1

  • 1Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

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Summary

Degos disease, a rare vascular disorder, causes skin lesions and organ damage. This case highlights the severe prognosis, with lethal outcomes often resulting from gastrointestinal complications.

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Area of Science:

  • Vascular Medicine
  • Dermatology
  • Pathology

Background:

  • Degos disease (malignant atrophic papulosis) is a rare occlusive vasculopathy with unknown cause.
  • It affects multiple organs, including skin, gastrointestinal tract, and central nervous system.

Observation:

  • Patients present with characteristic papules that become umbilicated, forming a depressed, white center with a red, telangiectatic halo.
  • Histopathology reveals dermoepidermal necrosis and vascular thrombosis.

Findings:

  • The case involved a 45-year-old woman with a typical presentation of Degos disease.
  • Systemic involvement led to a fatal outcome, primarily due to gastrointestinal perforation.

Implications:

  • Degos disease has a poor prognosis, with high mortality rates within 2-3 years for systemic cases.
  • Early diagnosis and understanding of its pathogenesis are crucial for potential therapeutic strategies.