Publication:
Malignant Atrophic Papulosis Presenting with Intestinal Perforation: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorPaudel, Asmita
dc.contributor.authorBhurtel, Min Raj
dc.contributor.authorGautam, Ashok
dc.contributor.authorGautam, Amrit
dc.contributor.authorBista, Mamata
dc.contributor.authorSingh, Pragyat
dc.date.accessioned2025-09-24T04:53:56Z
dc.date.available2025-09-24T04:53:56Z
dc.date.issued2023
dc.descriptionAsmita Paudel Department of Internal Medicine, Pokhara Academy of Health Sciences, Ramghat, Pokhara, Nepal Min Raj Bhurtel Department of Internal Medicine, Manipal College of Medical Sciences, Fulbari, Pokhara, Nepal Ashok Gautam Department of Internal Medicine, Pokhara Academy of Health Sciences, Ramghat, Pokhara, Nepal Amrit Gautam Department of Infectious Disease, Sukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal Mamata Bista Department of Infectious Disease, Sukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu, Nepal Pragyat Singh Department of Internal Medicine, Chhatrapati Free Clinic Hospital, Chhatrapati, Kathmandu, Nepal
dc.description.abstractAbstract Malignant atrophic papulosis sometimes known as Degos’ disease is an idiopathic, uncommon condition with fewer than 200 occurrences documented. It is a chronic thrombo-obliterative vasculopathy characterised by papular skin lesions with a core porcelain-white atrophy and a surrounding telangiectatic border. We report a 15-year-old male patient with a recurrent history of hollow viscus perforation, which was managed on all the occasions with exploratory laparotomy and primary perforation repair. Additionally, the patient had a five month history of numerous, non-itchy, atrophic papules with a core porcelain-like area and hyperkeratotic margins, characteristic of Degos' disease. The only basis for diagnosis is the distinctive skin lesions with biopsy. Along with systemic lupus erythematosus and other connective tissue diseases, tuberculosis must also be taken into account while assessing the clinical presentation of malignant atrophic papulosis. There is currently no known treatment for malignant atrophic papulosis that has been effective.
dc.identifierhttps://doi.org/10.31729/jnma.8192
dc.identifier.urihttps://hdl.handle.net/20.500.14572/2306
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectcase reports
dc.subjectIntestinal perforation
dc.subjectMalignant atrophic papulosis
dc.subjectUlcer
dc.subjectVasculitis
dc.titleMalignant Atrophic Papulosis Presenting with Intestinal Perforation: A Case Report
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage551
oaire.citation.startPage549
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relation.isJournalIssueOfPublication.latestForDiscoveryc6e58047-c96e-4292-8d49-77ff5616b68e
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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