Rodriguez M A
Am J Gastroenterol. 1977 Feb;67(2):163-6.
A 37-year old male with a history of idiopathic nephrotic syndrome, hypertension, severe headaches and transient ischemic attacks developed ischemic colitis with stricture formation of the spelnic flexure. Eschemic changes were secondary to vascular lesions involving the middle colic artery and mulitple smaller arteries and arterioles. The vascular lesion is localized to the intimal layer with proliferation of spindle-shaped cells indentical to the gastrointestinal lesion of malignant atrophic papulosis (Degos' disease). The patient had no skin biopsy, or history of skin lesions. This case represents ischemic colitis in a patient with malignant atrophic papulosis with either absent or unrecognized skin lesions.
一名37岁男性，有特发性肾病综合征、高血压、严重头痛和短暂性脑缺血发作病史，发生了缺血性结肠炎，并伴有脾曲狭窄形成。缺血性改变继发于累及中结肠动脉及多条较小动脉和小动脉的血管病变。血管病变局限于内膜层，有与恶性萎缩性丘疹病（德戈斯病）的胃肠道病变相同的梭形细胞增生。该患者未进行皮肤活检，也无皮肤病变史。此病例代表了一名患有恶性萎缩性丘疹病且皮肤病变缺失或未被识别的患者发生的缺血性结肠炎。
