Neudle.com: visual loss progressive

Differential
(Click to cross reference)

abdominal reflex, absent

abducens nerve paralysis

abscess, intracranial-fungal

abscess, sphenoid sinus

acanthocytosis

aciduria

acquired immunodeficiency syndrome

acute disseminated encephalomyelitis

Addison's disease

adolescent medicine

adrenoleukodystrophy

adrenoleukodystrophy, carrier

adrenomyeloneuropathy

adverse drug reaction

alternating rapid movement

amaurosis fugax

ammonia

amphiphysin antibodies

amyloid angiopathy, cerebral

amyloid angiopathy, cerebral, inflammatory type

aneurysm, cavernous sinus

aneurysm, cavernous sinus-bilateral

aneurysm, internal carotid artery

aneurysm, intracranial

aneurysm, intracranial, acute deterioration

aneurysm, intracranial, treatment of

aneurysm, post traumatic

aneurysm, ruptured

angiitis, granulomatous of CNS

angiitis, isolated of CNS

angiography, cerebral

angiography, cerebral, false negative

angiography, cerebral, negative

angioid streaks

angiotensin-converting enzyme

anti GQ1b IgG antibody

anti MAG antibodies

antibiotics

antibodies to measles

anticonvulsants, untoward effects of

antiretinal antibodies

aphasia

applause sign

apraxia

apraxia, constructional

areflexia

Argyll Robertson pupil

arm swing, reduced

arm weakness

arrhythmia, cardiac

arterialization of conjunctival vessels

arteritic anterior ischemic optic neuropathy

auditory and vestibular pathways

autonomic dysfunction

Barkhof MR criteria for MS

basal ganglia

basal ganglia, calcification of

basal ganglia, lesion of

basal ganglia, lesion, bilateral

basilar artery occlusion

Bassen-Kornzweig syndrome

battered child syndrome

bitemporal visual field defect

blindness, nutritional

Borrelia miyamotoi infection

brachial plexus neuropathy

bradykinesia

bradyphrenia

brain biopsy

brain biopsy, indication

brain biopsy, stereotaxic

brainstem

brainstem, dysfunction

brainstem, infarction of

calcification, intracranial

candida albicans

CAR syndrome

carbon monoxide poisoning

carotid artery disease

carotid artery injury

carotid artery occlusion, bilateral

carotid artery stenosis

carotid artery stenosis, intracranial

carotid siphon

carotid-siphon stenosis

CAT scan, angiography

CAT scan, base of skull

CAT scan, chest

CAT scan, contrast enhanced

CAT scan, demyelinating disease

CAT scan, dense artery sign

CAT scan, disappearing lesion on

CAT scan, emission, abnormal

CAT scan, orbits

cataracts

cavernous sinus

cavernous sinus, lesion of

cavernous sinus, syndrome

celiac disease, adult

central nervous system, infection of

central pontine myelinolysis

central retinal artery occlusion

central retinal vein occlusion

cerebellar atrophy, primary

cerebellar degeneration

cerebellar lesion

cerebellum

cerebral autosomal dominate arteriopathy with subcortical infarction and leukoencephalopathy

cerebral cortex

cerebral cortical atrophy

cerebral edema, vasogenic

cerebral embolism

cerebral embolism, mechanical extraction

cerebral infarction

cerebral peduncle

cerebral venous thrombosis

cerebro hepato renal syndrome

cerebrospinal fluid

cerebrospinal fluid, abnormal

cerebrospinal fluid, beta-D-glucan

cerebrospinal fluid, elevated protein of

cerebrospinal fluid, gammaglobulin of

cerebrospinal fluid, gold sol.curve of

cerebrospinal fluid, lactic acid concentration

cerebrospinal fluid, oligoclonal IgG in

cerebrospinal fluid, protein of

cerebrospinal fluid, xanthochromia of

cerebrovascular accident

cerebrovascular accident, acute management of

cerebrovascular accident, infancy and childhood

cerebrovascular accident, mimics

cerebrovascular accident, nonarterial territory

cerebrovascular accident, recurrent

cerebrovascular accident, women

cerebrovascular accident, young adult

cerebrovascular disease

chemosis

chemotherapy, CNS treatment and complications with

chronic progressive external ophthalmoplegia

Chvostek sign

cingulate gyrus

Clinical Pathologic Conference(C.P.C.)

clubfoot as related to neurologic disease

collagen vascular disease

collapsin response mediator protein 5 IgG

color vision

color vision, impaired

confusional state, acute

conjunctival biopsy

conjunctival engorgement

conjunctival injection

conjunctival vessel tortuosity

conjunctivitis

consanguinity

constipation

contactin associated protein like 2 antibodies

corpus callosum, lesion of

cortical blindness

cortical infarction

cortical-basal ganglionic degeneration

cotton-wool spots

cough

cranial nerve enhancement

cranial nerve palsies

cranial nerve palsies, unilateral

cranial nerves, toxins effecting

cranial neuropathy

cranial neuropathy, multiple

cranial neuropathy, progressive

craniopharyngioma

cryopyrin-associated periodic syndrome

cryptococcal meningitis

deafness, bilateral progressive vs.unilateral acute

degenerative diseases of CNS

dementia, rapidly progressive

demyelinating disease

denial of blindness(Antons syndrome)

dense basilar artery sign

dense middle cerebral artery sign

dental procedure, neurologic complications with

depression

dermatitis

dermatomyositis

developmental milestones, loss of

developmental retardation

dexterity, impaired

diabetes mellitus

diabetes mellitus, neurologic manifestations of

differential diagnosis

digitalis intoxication

drug abuse, neurologic complications of

drug induced neurologic disorders

dysthyroid ocularmyopathy

Ehlers-Danlos syndrome

electrical sensation

electrocardiogram, abnormal

electroencephalogram, abnormalities of

electroencephalogram, periodic complexes

electromyogram

electron microscopy

electronystagmography

electrophoretic pattern, serum

electroretinograph

embolism, paradoxical

embolism, vertebral-basilar artery

embolization, therapeutic

embolization, therapeutic, coils

emergencies, neurologic

emergencies, ocular

empty sella

encephalitis

encephalitis, autoimmune

encephalitis, brainstem

encephalitis, human immunodeficiency virus type 1

encephalitis, paraneoplastic

encephalitis, recurrent

encephalitis, viral

encephalomyelitis

encephalopathy

encephalopathy, acute

encephalopathy, post anoxic

encephalopathy, progressive

endovascular therapy

enophthalmous

eosinophilia

epidemiology of neurology

epilepsia partialis continua

Erdheim-Chester disease

exophthalmus, bilateral

exophthalmus, pulsatile

exophthalmus, unilateral

extinction on double simultaneous stimulation

extraocular muscle enlargement

eye injury

eye movement, disorders of

eye movement, painful

eye, pain in

face, numbness of

facial nerve palsy

facial nerve palsy, bilateral

facial nerve palsy, recurrent

facial pain

facial weakness

facial weakness, bilateral

fine motor function, impaired

finger nose finger test

fingerprint bodies

Fisher C.M.

Fisher's syndrome

fistula, arterio-venous

fistula, arterio-venous, carotid-cavernous

flaccid paralysis

floaters

fluctuate

fluorescein angiography

fluorescent treponema antibody absorption/false positive

foot deformity

foot drop

fourth ventricle, compression

Friedreich's ataxia

frontal lobe, behavior with disease of

fundus, abnormality of

funduscopic exam

fungal infection

fungal infection, CNS

gastrointestinal perforation

gaze palsy

gaze palsy, horizontal

gaze palsy, supranuclear

genetic neurologic disorders

globus pallidus, lesion of

globus pallidus, lesion of, bilateral

gluten sensitivity

gluten-free diet

gram positive cocci

granulomatosis with polyangiitis

granulomatous disease

grasp reflex

Graves ophthalmopathy

gray matter

Guillain Barre syndrome

Guillain Barre syndrome, ophthalmoplegia in

Hallervorden Spatz disease

Hallgren's syndrome

hallucination

hallucination, auditory

hallucination, visual

hand pain

hand weakness

Hand-Schuller-Christian disease

handwriting

head injury

headache

headache, awakening with

headache, progressive

headache, recurrent

headache, severe

headache, sudden onset of

headache, unilateral

hearing loss

hearing loss, bilateral

hearing loss, sudden, bilateral

hearing problems in children

hematuria, microscopic

hemianopia

hemianopia, homonymous

hemifacial atrophy

hemiparesis

hemiplegia

hemiplegia, progressive

hemorrhagic diathesis

hemosiderosis of CNS, superficial

hepatomegaly

hepatosplenomegaly

heralding manifestation

herpes zoster

herpes zoster, ophthalmicus

hippocampus, hyperintense

human immunodeficiency virus type 1

Hurler's syndrome

hydrocephalus

hydrocephalus, non-communicating(obstructive)

hyperadrenalism

hyperammonemic encephalopathy

hyperbaric oxygen

hypercalcemia

hyperinsulinism

hyperintense vessel sign

hyperkalemia

hyperparathyroidism

hyperpigmentation of skin

hypertensive encephalopathy

hyperthyroidism

hyperviscosity

hyperviscosity syndrome

hypoglycorrhachia

hypokalemic paralysis

hypokalemic periodic paralysis

hypothalamus, disturbance of

hypothalamus, lesion of

iatrogenic neurologic disorders

ideomotor apraxia

idiopathic inflammatory orbital disease

imbalance

immune checkpoint inhibitors

immunology and the nervous system

immunosuppression

immunosuppressive agents

immunotherapy

impotence

inclusion bodies

inclusion bodies, eosinophilic cytoplasmic

inclusion bodies, eosinophilic intranuclear

inclusion bodies, intracytopasmic

inclusion bodies, intranuclear

insular cortex, lesion

intellectual deficit

intellectual deterioration

internal carotid artery

internuclear ophthalmoplegia

internuclear ophthalmoplegia, bilateral

intestinal biopsy

intestinal pseudoobstruction

intraarterial balloon embolization

intracerebral hemorrhage

intracranial hypertension, benign

intracranial pressure, increased

intracranial pressure, increased, treatment of

intraocular pressure, increase

intravenous drug abuse

intrinsic hand muscles, wasting of

Jakob-Creutzfeldt disease

Jakob-Creutzfeldt disease, cerebellar variant

Jakob-Creutzfeldt disease, Heidenhain variant

Jakob-Creutzfeldt disease, variant

jaw claudication

jaw pain

Kearns-Sayre syndrome

keratitis, interstitial

keratoconjunctivitis

keratoconus

konzo

Korsakoff's psychosis

kyphoscoliosis, neurologic causes of

lactate

lactic acidemia

lacunar infarction

laminar necrosis, cortical

Laurence-Moon-Bardet-Biedl syndrome

L-dopa

Leber's hereditary optic neuropathy

leg weakness, bilateral

leg weakness, unilateral

Leigh's disease

lenticonus

lenticular nucleus, lesion of, bilateral

lethargy

leucine rich glioma inactivated 1 antibodies

leukemia

leukemia, neurologic findings assoc.with

leukocytosis

leukodystrophy

leukoencephalopathy

leukoencephalopathy, differential diagnosis

lymphoma involving CNS

lymphoma, ocular

lymphoma, primary of CNS

lymphomatoid granulomatosis

macroglobulinemia

macular degeneration

malabsorption

malformation, CNS, congenital

malignancy screen

malignancy, occult

malignant optic glioma of adulthood

medial longitudinal fasciculus(MLF)

MELAS syndrome

Melkersson's syndrome

memory, defect of recent

memory, impairment of

memory, recent

meningeal biopsy

meningeal enhancement

meningioma

meningioma, atypical

meningioma, sphenoid wing

meningioma, suprasellar

meningitis, carcinomatous

meningitis, chronic

meningitis, eosinophilic

meningitis, fungal

meningitis, leukemic

meningitis, neutrophilic

meningitis, noninfectious

meningitis, TB

meningitis, treatment of

meningoencephalitis

mental retardation

mental status, abnormal

MERCI trial

MERRF syndrome

metabolic acidosis

methylmalonic aciduria

microangiopathy, brain

microangiopathy, retina

micrographia

microhemorrhage, intracerebral

midbrain

midbrain, atrophy

midbrain, lesion of

middle cerebral artery territory infarction

middle cerebral artery, emboli to

middle cerebral artery, occlusion of

migraine

migratory lesion pattern

mimics

Mini Mental Status Examination

misdiagnosis

mitochondrial disease

mitochondrial encephalomyopathy

molecular genetics

mononeuritis multiplex

mononeuropathy

mononeuropathy multiplex

movement disorder, extrapyramidal

MRI, CAT scan compared to

MRI, contrast enhanced

MRI, cranial nerves

MRI, diffusion weighted

MRI, disappearing lesion on

MRI, extraocular muscle enhancement

MRI, false negative

MRI, FLAIR, hyperintense vessels

MRI, high signal foci on

MRI, mass effect on

MRI, negative

MRI, nodular enhancement

MRI, optic nerve

MRI, orbit

MRI, paramagnetic effect

MRI, ring sign, open

MRI, serial

MRI, skull bone changes

MRI, spinal cord

MRI, sulcal hyperintensity

MRS

mucopolysaccharidoses

mucormycosis

multiple myeloma

multiple sclerosis

multiple sclerosis, acute

multiple sclerosis, misdiagnosis

multiple sclerosis, tumefactive

muscle atrophy, progressive

muscle biopsy

muscle pain

muscle weakness

muscle weakness, causes of

muscle weakness, proximal

muscular dystrophy

muscular dystrophy, facioscapulohumeral

mutism

myasthenia gravis

myasthenia gravis, misdiagnosis of

myasthenia gravis, paraneoplastic

myasthenic syndrome

mycophenolate

myelinolysis, extrapontine

myelopathy, chronic progressive

myopathy, mitochondrial

myxedema, neurologic manifestations of

nasal septum, perforation of

neoplasm, metastatic to eye

neoplasm, pituitary

neoplasm, primary of CNS

neoplasm, primary of CNS-treatment of

neoplasm, second primary

nerve biopsy

nerve conduction studies

neurologic complications

neurologic complications of, systemic cancer

neurologic complications of, systemic disease

neurologic disease

neurologic disease, diagnoses of

neurologic disease, multifocal

neurologic disease, multiple

neurologic examination, focal

neurologic signs

neurologic symptoms

neuromuscular disease, electrodiagnosis of

neuromuscular junction

neuromuscular junction, abnormality of

neuromyelitis optica (Devic's disease)

neuromyelitis optica spectrum disorder

neuromyelitis optica, IgG

neuronal cell surface antigen

neuronal ceroid-lipofuscinosis

neuronopathy, sensory

neuroophthalmology

neuropathology

neuropathology, brain

neuropathy

neuropathy, ataxic

neuropathy, hereditary peripheral

neuropathy, hypertrophic

neuropathy, onion bulb

neuropathy, paraneoplastic

neuropathy, peripheral

neuropathy, sensory

neuropathy, vasculitic, systemic

neuroradiology, interventional

next-generation sequencing

nutritional deficiency

nystagmus

nystagmus, dissociated

nystagmus, vertical

obesity

obicularis oculi, weakness of

occipital cortex

occipital lobe, infarction

occipital lobe, lesion of

ocular motility, disorders of

ocular myopathy

oculomasticatory myorhythmia

old age, neurology of

onconeural antibodies

one and a half syndrome

ophthalmic artery

ophthalmoplegia

ophthalmoplegia, acute

ophthalmoplegia, bilateral, acute

ophthalmoplegia, painful

ophthalmoplegia, progressive external

ophthalmoplegia, total

ophthalmoplegia, unilateral

opportunistic infection

opportunistic infection, CNS

opsoclonus-myoclonus syndrome

optic atrophy

optic atrophy, bilateral

optic atrophy, unilateral

optic canal

optic canal, enlargement of

optic chiasm

optic chiasm, enhancement

optic chiasm, enlarged

optic chiasm, lesion of

optic nerve sheath fenestration

optic nerve, biopsy

optic nerve, compression of

optic nerve, enhancement

optic nerve, enlarged

optic nerve, lesion of

optic nerve, neoplasm of

optic neuritis

optic neuritis, bilateral

optic neuropathy

optic neuropathy, bilateral

optic neuropathy, hereditary

optic neuropathy, ischemic

optic neuropathy, ischemic, anterior

optic neuropathy, ischemic, posterior

optic neuropathy, nutritional

optic tract, lesion of

optical coherence tomography

oral ulcerations

orbit

orbit, compression

orbit, inflammation in

orbit, pseudotumor of

orbital apex

orbital apex syndrome

orbital compartment syndrome

ornithine transcarbamylase deficiency

osmotic demyelination syndrome

osteomyelitis

otitis, neurologic complications with

overlap syndrome

pachymeningitis, cranial

papilledema, unilateral

papillitis

papovavirus

paralysis

paralysis, acute areflexic

paraneoplastic cerebellar degeneration

paranoia

paraparesis

paraparesis, familial spastic

Parkinson disease, axial symptoms

Parkinson disease, tremor, absence of

Parkinsonism syndrome

PAS positive

PAS positive material in the brain

patent foramen ovale

patient information and support

penguin silhouette sign

Penumbra System

periarteritis nodosa

pericarditis

peripheral nerve, lesion of

peroxisomal disease

persistent vegetative state

photosensitivity, eye

phytanic acid

pigmentary retinopathy

pituitary

pituitary, metastasis to

PLEDs

PLEDs, bilateral independent

PLEDs, etiology of

pleocytosis of cerebrospinal fluid

pleocytosis of cerebrospinal fluid, neutrophilic

polydactyly

polymerase chain reaction

polymyalgia rheumatica

posterior fossa, lesion of

posterior inferior cerebellar artery syndrome

posterior leukoencephalopathy syndrome

prevention of neurologic disorders

primary aldosteronism

prion disease

prognosis

progressive hemifacial atrophy

progressive multifocal leucoencephalopathy

progressive neurologic disorder

progressive supranuclear palsy

propionic aciduria

proptosis

proptosis, bilateral

proptosis, unilateral

pseudobulbar palsy

pseudomyasthenia

pseudoretinitis pigmentosa

pseudoxanthoma elasticum

psoriatic arthritis

psychiatric disorder

psychiatric problems in neurologic disorders

psychomotor retardation

pulmonary infiltrates

pupil, abnormality in neurologic disorders

pupil, dilated and fixed, bilateral

pupil, dilated and fixed, unilateral

pupil, dilated, unilateral

pupil, light reflex, abnormal

pupil, midposition and fixed, unilateral

pure motor hemiplegia

pursuit eye movements, abnormal

putamen, lesion of

putamen, lesion of, bilateral

pyramidal tract dysfunction

quadriparesis

radiation encephalopathy, delayed

radiation therapy, CNS treatment and complications with

radiculopathy

ragged-red fibers

rapidly progressing neurologic illness

rash

rash, hand

reading disorder, acquired

real-time quaking-induced conversion

remote effect of cancer on the nervous system

renal failure

renal failure, acute

renal transplantation

renal tubular acidosis

repetitive nerve stimulation

respiratory failure

respiratory tract infection

reticular activating system

retina, abnormal

retinal arteriole attenuation

retinal artery occlusion

retinal atrophy

retinal biopsy

retinal branch artery occlusion

retinal vasculopathy with cerebral leukodystrophy

retinitis pigmentosa

retinoblastoma

retinopathy

retinopathy, ischemic

reversible neurologic disorder

review article

rheumatoid arthritis

rheumatoid arthritis factor(R.A.factor)

Rosai-Dorfman disease

rubeola virus

saccadic eye movements, abnormal

sarcoidosis

sarcoidosis, CNS

Saturday night retinopathy

scleroderma, neurologic involvement with

sclerosis, bone

scotoma

scotoma, central

scotoma, paracentral-homonymous

screening

sedimentation rate, elevated

sella turcica, enlargement of

seminoma

sensorineural hearing loss

sensory loss

sequencing difficulty

serologic testing

seronegative

short stature

shunt procedure, ventricular

shunt procedure, ventricular-complications of

shunt procedure, ventriculo-peritoneal

sicca syndrome

simultanagnosia

sinemet

single-fiber electromyography

Sjogren's syndrome, neurologic manifestations of

skin, biopsy

skin, cherry-red

skin, darkening of

skin, lesions in neurologic disorders

skin, thickened

skull bone, thickening

skull x-ray, abnormal

skull x-ray, bony defect on

sleep pathology and physiology

slit lamp examination

slow virus infection of CNS

speech disorder, childhood

sphenoid sinus

sphenoid sinus biopsy

Spielmeyer Vogt syndrome

spinal cord

spinal cord, lesion of

spinal cord, pathologic exam of

spinocerebellar ataxia

spinocerebellar ataxia type 7

spinocerebellar degeneration

spirochete infection

splenium of corpus callosum

splenomegaly

squamous cell carcinoma of head and neck

steroid therapy, CNS treatment and complications with

stool, loose

strabismus

stroke, progression of

strokelike episodes

subacute sclerosing panencephalitis(S.S.P.E.)Dawson's disease

subarachnoid hemorrhage

substantia nigra

sudden death

suicide

superior ophthalmic vein, dilated

Susac's syndrome

symmetric brain lesions

syphilis, diagnosis and treatment

syphilis, neurologic complications with

syphilis, ocular

systemic illness

systemic lupus erythematosus

systemic lupus erythematosus, neurologic complications with

systemic lupus erythematosus, neuro-opthal.complications with

tachycardia

tandem gait, ataxic

tapetoretinal degeneration

tau protein

tauopathy

telangiectases

telangiectases, retinal

temporal artery, biopsy

temporal lobe, lesion

temporal lobe, lesion, bilateral

temporalis muscle wasting

tendonitis

tensilon test, false positive

testicular biopsy

tetany

thalamus, lesion of

thalamus, lesion of-bilateral

thiamine

thiamine deficiency

third nerve palsy

third nerve palsy, partial

third nerve palsy, pupil sparing in

toxins, nervous system

transient ischemic attack

transient neurologic deficit

trauma

travel, foreign

treatment of neurologic disorder

trigeminal neuropathy

trigeminal neuropathy, sensory

trinucleotide repeats

urea-cycle enzymopathies

vision loss, sequential

vision, blurred

vision, blurred, monocular

vision, cloudy

vision, failure of in childhood

visual acuity

visual acuity, decreased

visual acuity, decreased, monocular

visual field defect

visual fields

visual fields, constricted

visual impairment

visual loss

visual loss, delayed

visual loss, permanent

visual loss, progressive

visual loss, slow

visual loss, slow-unilateral

visual loss, sudden

visual loss, sudden-unilateral

visual loss, transient

visual obscurations, transient

visual symptoms

visuospatial disturbance

vitamin A

vitamin A deficiency

vitamin deficiency

vitamin supplementation

Waldenstrom's macroglobulinemia

walking frame

walking, difficulty with

water channel antibodies

weakness

weakness, generalized

weakness, progressive

white matter disease, subcortical

wide based gait

Wolff-Parkinson-White syndrome

word-finding difficulty

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Neurol 83:1170-1177, Izcovich, A.,et al, 2014

Clinical Manifestations, Pathologic Features, and Diagnosis of Langerhans Cell Histiocytosis
UptoDate Oct. 2014, McClain, K.L., 2014

Clinicopathologic Conference, Chronic Meningoencephalitis Consistent with Rasmussens Encephalitis
NEJM 371:1737-1746, Case 34-2014, 2014

A 52-year-old Woman with Progressive Proximal Weakness
Neurol 83:e106-e109, Enduri, S.,et al, 2014

Pathognomonic Seizures in Limbic Encephalitis Associated with Anti-LGl1 antibodies
Lancet 383:2018, Sen, A.,et al, 2014

Acoustic Apoplexy: An Acute Complication of a Common Intracranial Tumour
BMJ 348:g3268, Hollingworth, M.A.,et al, 2014

Clinicopathologic Conference, Tay-Sacks Disease (GM2, Gangliosidosis)
NEJM 370:1830-1841, Case 14-2014, 2014

Venous Thromboembolism in Amyotrophic Lateral Sclerosis
Neurol 82:1674-1677, Gladman, M.,et al, 2014

Neuroimaging in Patients with Abnormal Blood Glucose Levels
AJNR 35:833-840, Bathla, G.,et al, 2014

Polycythemia Vera Presenting with Ischemic Strokes in Multiple Arterial Territories
Neurol 82:e168-e170, Billakota, S. & Husseini, N.E., 2014

Brugada Syndrome in Spinal and Bulbar Muscular Atrophy
Neurol 82:1813-1821, Araki, A.,et al, 2014

Paraparetic Guillain-Barre Syndrome
Neurol 82:1984-1989, Van Den Berg, B.,et al, 2014

A 24-year-old Woman with Progressive Headache and Somnolence
Neurol 82:e188-e193, Bhattacharyya, S.,et al, 2014

Clinicopathologic Conference, Dermatomyositis. Malignant Atrophic Papulosis (Degoss Disease), Involving the Skin and Gastrointestinal Tract
NEJM 370:2327-2337, Case 18-2014, 2014

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