Painless pink papules with central porcelain-white scars

Mydlarski, P. Régine; Barber, Duane F.; Robertson, Lynne H.
November 2008
CMAJ: Canadian Medical Association Journal;11/18/2008, Vol. 179 Issue 11, p1171
Academic Journal
The article reports a case of malignant atrophic papulosis, also known as Degos disease. The patient presented with a history of asymptomatic, erythematous to pink papules with central porcelain-white atrophic scars and a telangiectactic rim. The condition is a potentially fatal occlusive arteriopathy of small to medium-sized vessels. The average number of papules per patient is around 30, and the proximal body surfaces, genitals and back are frequently involved. It is suggested that the patient has the benign cutaneous type because of lack of involvement of internal organs over three years.


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