Journal of the American Academy of Dermatology
Degos disease in a patient with acquired immunodeficiency syndrome☆,☆☆,★
Section snippets
CASE REPORT
For a 2-month period, a 58-year-old homosexual man had slightly painful elevated papules distributed symmetrically on the trunk, extensor aspects of the upper and lower extremities, and dorsum of the hands and palms.
Examination disclosed an emaciated man with hepatosplenomegaly and axillary and cervical lymphadenopathy. Cutaneous lesions consisted of 2 to 5 mm firm erythematous papules, with a porcelain-yellow center and a telangiectatic rim (Fig. 1).
COMMENT
Several types of vasculitis, which can be classified in two broad categories, have been described in HIV-infected patients: systemic vasculitis, which includes polyarteritis nodosa-like disease and granulomatous angiitis, and cutaneous leukocytoclastic vasculitis.7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27 Seven cases of necrotizing vasculitis of the polyarteritis nodosa type have been reported in HIV-infected patients.7, 8, 9, 10, 11, 12 In another three
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