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MALIGNANT ATROPHIC PAPULOSIS (DEGOS'' SYNDROME)
Authors:TOSHIO DEMITSU  M.D.  KAZUYUKI NAKAJIMA  M.D.    RYUHEI OKUYAMA  M.D.    TAKAYOSHI TADAKI  M.D.
Affiliation:Division of Dermatology, Sanuma General Hospital, Miyagi-ken, Japan.
Abstract:A 29-year-old Japanese man with malignant atrophic papulosis had a 1-year history of scattered, asymptomatic, whitish or skin-colored papules, as well as erythematous papules with central atrophy showing a porcelain-like appearance on the trunk and extremities. Histologic examination revealed lymphocyte-mediated necrotizing vasculitis with considerable deposition of mucin in the dermis. The wedge-shaped necrosis of the dermis was not detected. Based on a review of the literature we think that this case represents the histologic features of the early skin lesions of malignant atrophic papulosis.
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