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链球菌感染后血管病变,进展为 Degos 病。

Post-streptococcal vasculopathy with evolution to Degos' disease.

机构信息

Barrow Neurological Institute, 350 W Thomas Road, Phoenix, AZ 85013, United States.

出版信息

J Neurol Sci. 2011 Jan 15;300(1-2):157-9. doi: 10.1016/j.jns.2010.10.007. Epub 2010 Oct 29.

DOI:10.1016/j.jns.2010.10.007
PMID:21035145
Abstract

Degos' disease or malignant atrophic papulosis is a rare disseminated occlusive vasculopathy affecting the skin, gastrointestinal tract, central nervous system, and less often other organ systems. The exact etiology of this vasculopathy has not been established. Infections, autoimmune disease and coagulation defects have been proposed as underlying pathogenic mechanisms, but none have been confirmed. Here, we report the clinical, radiological and histopathologic features of Degos' disease in a 41-year-old man following streptococcal throat infection. Prior postulated hypothesis as post-infectious immunologic mechanism may be further supported by this case.

摘要

德戈斯病或恶性萎缩性丘疹病是一种罕见的弥漫性闭塞性血管病,影响皮肤、胃肠道、中枢神经系统,较少影响其他器官系统。这种血管病的确切病因尚未确定。感染、自身免疫性疾病和凝血缺陷已被提议作为潜在的发病机制,但均未得到证实。在此,我们报告了一例 41 岁男性在链球菌性咽炎感染后发生德戈斯病的临床、影像学和组织病理学特征。此前提出的感染后免疫机制假说可能通过该病例得到进一步支持。

相似文献

1
Post-streptococcal vasculopathy with evolution to Degos' disease.链球菌感染后血管病变,进展为 Degos 病。
J Neurol Sci. 2011 Jan 15;300(1-2):157-9. doi: 10.1016/j.jns.2010.10.007. Epub 2010 Oct 29.
2
Malignant atrophic papulosis: a case report with severe visual and neurological impairment.恶性萎缩性丘疹病:1例伴有严重视力和神经功能障碍的病例报告
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3
Generalized red papules with gastrointestinal complications. Diagnosis: malignant atrophic papulosis (Degos' disease).伴有胃肠道并发症的泛发性红色丘疹。诊断:恶性萎缩性丘疹病(德戈斯病)。
Clin Exp Dermatol. 2007 Sep;32(5):615-6. doi: 10.1111/j.1365-2230.2007.02403.x. Epub 2007 Mar 21.
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[Degos' disease as a cutaneous manifestation of systemic lupus erythematosus].[作为系统性红斑狼疮皮肤表现的迪戈斯病]
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Laparoscopy shows superiority over endoscopy for early detection of malignant atrophic papulosis gastrointestinal complications: a case report and review of literature.腹腔镜检查在早期发现恶性萎缩性丘疹病胃肠道并发症方面显示出优于内镜检查:一例病例报告及文献复习
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Pediatr Dermatol. 2023 Mar;40(2):394-395. doi: 10.1111/pde.15214. Epub 2022 Nov 28.
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Degos' syndrome complicated by bowel perforation: focus on radiological findings.Degos 综合征并发肠穿孔:重点介绍放射学表现。
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Malignant atrophic papulosis.恶性萎缩性丘疹病
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引用本文的文献

1
Degos Disease (Malignant Atrophic Papulosis) With Granular IgM on Direct Immunofluorescence.伴有直接免疫荧光检查显示颗粒状IgM的迪戈斯病(恶性萎缩性丘疹病)
Cureus. 2021 Jan 13;13(1):e12677. doi: 10.7759/cureus.12677.
2
A case of malignant atrophic papulosis with cranial nerve and peripheral nerve impairment.一例伴有颅神经和周围神经损害的恶性萎缩性丘疹病。
An Bras Dermatol. 2015 May-Jun;90(3 Suppl 1):19-21. doi: 10.1590/abd1806-4841.20153490.
3
Malignant atrophic papulosis (Köhlmeier-Degos disease) - a review.恶性萎缩性丘疹病(Köhlmeier-Degos 病)——综述。
Orphanet J Rare Dis. 2013 Jan 14;8:10. doi: 10.1186/1750-1172-8-10.