raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:679

Malignant atrophic papulosis

Synonyms: Cutaneo-muco-intestinal syndrome · MAP · Papulosis atrophicans maligna

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal dominant
Age of onset
Adult
Status
active

Malignant atrophic papulosis (MAP) is a rare, chronic, thrombo-obliterative vasculopathy characterized by papular skin lesions with central porcelain-white atrophy and a surrounding teleangiectatic rim. Systemic lesions may affect the gastrointestinal tract and the central nervous system (CNS) and are potentially lethal.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMalignant atrophic papulosisCutaneo-muco-intestinal syndrome · MAP · Papulosis atrophicans maligna
frPapulose atrophiante malignePapulosis atrophicans maligna · Syndrome cutanéo-muco-intestinal
dePapulose, atrophische maligneKöhlmeier-Degos-Krankheit · MAP · Papulosis maligna atrophicans
esPapulosis atrófica malignaSíndrome cutaneo-mucointestinal
itPapulosi atrofica malignaMAP · Papulosis atrophicans maligna · Sindrome cutaneo-muco-intestinale · Sindrome di Köhlmeier-Degos-Delort-Tricort
nlMaligne atrofische papuloseCutaneo-muco-intestinaal syndroom · MAP · Papulosis atrophicans maligna
ptPapulose atrófica malignaMAP · Papulose atroficans maligna · Síndrome cutâneo-muco-intestinal
plGrudkowatość złośliwa zanikowaChoroba Degosa · Choroba Köhlmeiera i Degosa · Grudkowatość złośliwa zanikowa · Zespół Köhlmeiera, Degosa, Delorta i Tricorta
csMaligní atrofická papulózaDegosova choroba · Köhlmeierova-Degosova nemoc · Köhlmeierův-Degosův-Delortův-Tricortův syndrom · Köhlmeier-Degosova nemoc · Köhlmeier-Degos-Delort-Tricortův syndrom
ukЗлоякісний атрофічний папулезКутанно-слизово-кишковий синдром · MAP · Атрофічний папулез злоякісний
zh恶性萎缩性丘疹病Köhlmeier-Degos-Delort-Tricort 综合征
trHabis atrofik papülozDegos hastalığı · Köhlmeier-Degos hastalığı · Papüloz atrofik habis · Köhlmeier-Degos-Delort-Tricort sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM602248Evalidated
ICD-10I77.8NTBTindexvalidated
ICD-11EF5YNTBTindexvalidated
MONDO0011208Evalidated
MeSHD054853Evalidated
UMLSC0221011Evalidated
GARD6249Evalidated
MedDRA10064281Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families200 casesWorldwideCase(s)Validated[EXPERT]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

34 annotations · validated 2018-01-18
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0004334Dermal atrophy
HP:0200034Papule
HP:0100585Telangiectasia of the skin
Frequent (79-30%)
HP:0002027Abdominal pain
HP:0012378Fatigue
HP:0002239Gastrointestinal hemorrhage
HP:0005244Gastrointestinal infarctions
HP:0031368Intestinal perforation
HP:0010547Muscle flaccidity
HP:0002017Nausea and vomiting
HP:0001824Weight loss
Occasional (29-5%)
HP:0001637Abnormal myocardium morphology
HP:0000587Abnormal optic nerve morphology
HP:0001697Abnormal pericardium morphology
HP:0010936Abnormality of the lower urinary tract
HP:0100576Amaurosis fugax
HP:0004420Arterial thrombosis
HP:0012089Arteritis
HP:0000518Cataract
HP:0100749Chest pain
HP:0006824Cranial nerve paralysis
HP:0000651Diplopia
HP:0100819Intestinal fistula
HP:0002140Ischemic stroke
HP:0002076Migraine
HP:0001658Myocardial infarction
HP:0007021Pain insensitivity
HP:0009830Peripheral neuropathy
HP:0002586Peritonitis
HP:0002202Pleural effusion
HP:0000508Ptosis
HP:0002878Respiratory failure
HP:0001250Seizure
HP:0002321Vertigo

Run the differential on the 3 obligate / very frequent terms

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Sources for this card