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[一名哺乳期婴儿的恶性萎缩性丘疹病(德戈斯综合征)]

[Malignant atrophic papulosis (Degos' syndrome) in a suckling infant].

作者信息

Schneider A, Tschumi A, Egloff B, Ott F, Fanconi A

出版信息

Helv Paediatr Acta. 1986 Dec;41(5):447-54.

PMID:3818332
Abstract

The clinical and histological diagnosis of Degos' syndrome could be made in a 8-month-old infant with scarring skin lesions. Some weeks later the baby developed severe intestinal symptoms and died from perforations of multiple necrotic lesions of the small bowel. Autopsy revealed in addition to the skin and gut lesions a haemorrhagic cortical infarction of the brain and fibrotic areas in the myocardium. In all these lesions characteristic stenotic endovascular proliferations were seen. Malignant atrophic papulosis is an extremely rare disease in infancy (our patient is the fifth reported case) with a well defined clinical picture, characteristic histological appearance of obliterating vasculitis, but unknown aetiology.

摘要

Degos综合征的临床和组织学诊断可在一名患有瘢痕性皮肤病变的8个月大婴儿中做出。几周后,婴儿出现严重的肠道症状,并死于小肠多处坏死性病变穿孔。尸检显示,除皮肤和肠道病变外,还有脑皮质出血性梗死和心肌纤维化区域。在所有这些病变中均可见特征性的狭窄性血管内增生。恶性萎缩性丘疹病在婴儿期极为罕见(我们的患者是第五例报告病例),具有明确的临床表现、闭塞性血管炎的特征性组织学表现,但病因不明。

相似文献

1
[Malignant atrophic papulosis (Degos' syndrome) in a suckling infant].[一名哺乳期婴儿的恶性萎缩性丘疹病(德戈斯综合征)]
Helv Paediatr Acta. 1986 Dec;41(5):447-54.
2
Malignant atrophic papulosis--Degos' syndrome.恶性萎缩性丘疹病——德戈斯综合征
Acta Chir Scand. 1979;145(4):279-83.
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A fatal case of malignant atrophic papulosis (Degos' disease) in a man with factor V Leinden mutation and lupus anticoagulant.一名患有因子V莱顿突变和狼疮抗凝物的男性发生恶性萎缩性丘疹病(德戈斯病)致死病例。
Acta Derm Venereol. 2006;86(3):245-7. doi: 10.2340/00015555-0068.
4
[Degos' malignant atrophic papulosis. Ultrastructural study of a new case].
Ann Anat Pathol (Paris). 1980;25(2):111-24.
5
Wegener's granulomatosis: a new entity in the growing differential diagnosis of Degos' disease.韦格纳肉芽肿:在进行性增多的迪戈斯病鉴别诊断中的一种新疾病。
Clin Exp Dermatol. 2009 Jul;34(5):e1-3. doi: 10.1111/j.1365-2230.2008.02953.x. Epub 2009 Nov 24.
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Endoscopic and histopathologic features of Degos' disease.迪戈斯病的内镜及组织病理学特征。
Endoscopy. 1991 Jul;23(4):231-3. doi: 10.1055/s-2007-1010665.
7
[Köhlmeier-Degos disease (Malignant Atrophic Papulosis): a cause of recurrent multiple intestinal perforations].[科尔迈尔-德戈斯病(恶性萎缩性丘疹病):反复多次肠道穿孔的一个病因]
Chirurgia (Bucur). 2009 Nov-Dec;104(6):765-72.
8
[Malignant atrophic papulosis (Degos' syndrome)].[恶性萎缩性丘疹病(德戈斯综合征)]
Sb Lek. 1990 Jan;92(1):1-5.
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Small bowel fistulae in Degos' disease: a case report and literature review.德戈斯病中的小肠瘘:一例报告及文献综述
Am J Gastroenterol. 1996 Oct;91(10):2208-11.
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Malignant atrophic papulosis (Degos' disease)--diffuse involvement of brain and bowel in an African patient.恶性萎缩性丘疹病(德戈斯病)——一名非洲患者脑部和肠道的弥漫性受累
Br J Dermatol. 1988 Jan;118(1):117-23. doi: 10.1111/j.1365-2133.1988.tb01760.x.

引用本文的文献

1
Case Report: Infant-onset Degos disease with nervous system involvement and a literature review.病例报告:伴有神经系统受累的婴儿期德戈斯病及文献综述
Front Pediatr. 2024 Jul 5;12:1374150. doi: 10.3389/fped.2024.1374150. eCollection 2024.
2
An atypical paediatric case of malignant atrophic papulosis (Köhlmeier-Degos disease).一例非典型小儿恶性萎缩性丘疹病(科尔迈尔-德戈斯病)。
Eur J Pediatr. 1990 Apr;149(7):457-8. doi: 10.1007/BF01959394.