Ernie’s Story

Hello, My name is Sue DuPont, the mother of 22-year-old Ernie DuPont. Ernie was 17 years old when he was diagnosed with Degos disease. 

Ernie was a senior in high school and a great athlete, he was the goalie of the varsity soccer team and broke the sit up record for the high school he attended. He is also a wonderful person and son. 

He is a man of character and was 15 years old when we saw his first spot and we thought it was a pimple or something like that. 

We took him to the pediatrician and he said he had no idea what it was and said try to put neosporin on it. 

Nothing happened, it stayed the same. Over the years he got more on his chest and few on his back. 

The summer of 2009 my sister-in-law said that she thought it was molluscum contagiosum, and that is what the pediatrician said at his check up in January 2009 as well. 

I wasn’t satisfied and took him to the dermatologist, the dermatologist did a biopsy on one of Ernie’s reddish premature lesions. 

A week later, the dermatologist told us the lesions could be Lupus or Degos disease, and that he needed another biopsy. This time a deeper tissue sample of a mature white-centered lesion. 

We immediately went back the next day and had the biopsy done. 

In the meantime we looked up about Degos disease, because we never heard of it. It was devastating! 

A week later, the dermatologist called and gave us the definite diagnosis of Degos disease. No one in this area of New York or the states that we or the doctors knew of knew anything about Degos disease.

We were referred to Dr. Lee Shapiro, a rheumatologist , who also never heard of it before, but said he was “on the case,” and thank God he was. 

In December 2009, Christmas night Ernie got seriously ill. He had pain, vomiting, and fever. 

He had an obstruction from perforation that had healed. The surgeon fixed his obstruction. 

The surgeon told us Ernie’s intestines were covered with lesions, that was more devastating news, because we knew, based on what we read and what Dr. Shapiro had found out from the Degos disease website experts that these patients have all died before that point. 

While Ernie was dying from sepsis in the PICU of Albany Medical Center, Dr. Shapiro found a doctor in Cornell that had treated a similar individual with a drug called Eculizumab, and almost within a few hours improved and is still alive today. 

Dr. Shapiro got in touch with the doctor of the drug company, and they sent it to Ernie as fast as they could. 

There was a day delay from bad weather, but he received it two days later and within hours his vitals started returning to normal. It was truly a miracle. I will elaborate on that some other time. So you see at that time to our knowledge. 

Ernie was only the second person to survive this type of systemic Degos disease. Of course over time more communication between Dr. Shapiro and other doctors interested in Degos disease has taken place.

Ernie was able to get a tutor, go back to school, and graduate with his class. 

He continued to have progression in his brain and bladder, but both of those have been resolved, from the Eculizumab being increased for a time. He has also been on Remodulin, a vasodilator, for 3 and 1/2 years. 

That is a story for another time. That is also a miracle story. 

In September of 2013, he had a left lung pleural effusion, which has also been resolved, with an increase in Eculizumab for a time. 

He is back to every other week again on the Eculizumab instead of every week and his lung is barely draining enough to cover the bottom of the bottle. Hopefully the pleural tube will come out very soon.

My son has been through things that I don’t think I would have survived. He is my hero. He is the strongest person I know. He has been as low as the most low and has come back. He has had panic attacks and suffers from anxiety too.

Finally, my daughterm, Jennifer, who is now 17 years old, was diagnosed at 15 years old with Degos disease. 

She got her first lesion at 15 years old just like Ernie so of course we immediately knew it was Degos disease. 

She has been on 81mg of aspirin daily only, and has not progressed like Ernie. 

Dr. Shapiro believes she only has cutaneous Degos disease and will not get systemic. We are hopeful.

As a family we spent a week at the National Institute of Health in Bethesda, Maryland having many blood tests, skin biopsies, radiology scans, and MRI’s. 

Of course Ernie had more tests than the rest of us. 

The doctors are looking for a genetic component to Degos disease. I know that one girl was there before us with Degos disease of her heart only, no skin lesions and one other woman has gone there after us. 

We haven’t heard any results yet from the genetic testing. That takes a long time. When I hear this I will post it to this website. 

By the way, the doctor in the story, Dr. Aixa Toledo was a fellow at the time Ernie was in the PICU, and she helped Dr. Shapiro with Ernie’s care. She continues to see Ernie on a regular basis for Degos disease. 

In my opinion, over the last four years, Dr. Shapiro and Dr. Toledo should also be considered top experts in the world on Degos disease. Without them, my son wouldn’t be here. 

We thank God everyday for them. We praise God everyday for what he has done for our son and daughter. I will continue to post updates. 

Thank you and God Bless,

Sue DuPont


2025 Addendum

In 2010, 6 or 7 months after Ernie received the first dose of eculizumab, he started having strange numbness in his right arm and hand and also was having problems getting the words out to what he wanted to say. So he got an MRI of his head and it showed a decent size lesion on his brain. This was very scary to all of us, especially Ernie. Ernie was always afraid of losing his mind and brain function.

By winter of 2010, Ernie was in severe pain in his abdomen again and the surgeons were leery about opening him back up again, but after so long they decided to go ahead and take a look. The surgeon thought she would find lesions in the intestine, but it wasn’t lesions that was causing his pain, but adhesions. His entire small intestine was balled up and connected by adhesions and the surgery took quite some time to disconnect all of his loops from all those adhesions. Ernie was in the hospital for a long time that winter and spent Christmas there.

During that stay, Dr. Shapiro had a patient with Degos who was taking a drug called Remodulin that had a remarkable effect on her lesions and brain. So my husband got in contact with her PA department to ask if they would cover this drug for Ernie on a trial basis and they agreed.

While Ernie was inpatient, before having the surgery for his belly, they started him on the Remodulin infusion. Basically it was a 24-hour continuous infusion of the drug, sort of like an insulin pump. The only drawback was the pain it caused at the infusion site. The pain could be debilitating for Ernie; he hated it. It would get inflamed and he could use all these creams on it to help, but it was still very sore.

To make a long story short, 6 months after the start of the Remodulin, Ernie had a repeat MRI of his brain and it showed a healing of the lesion. Even though it had healed and there were no more brain lesions, Ernie still had lasting effects from the scarring of the lesion in the brain and he was put on Keppra (a seizure drug).

Fast forward to Sept. 2014, Ernie was so tired of the subcutaneous Remodulin and the pain it gave him he discontinued it when the drug company came out with a pill form of the drug. There was a problem with that because the pulmonologist was very unhappy about Ernie changing to pill form. Dr. Toledo had gone ahead and changed Ernie to pill form because he asked for it. For Ernie this ended up not being a good thing, because within months he started having migraines, increasing effects of the scar on his brain, increasing inflammation in his gut, scarring on his lungs and his pericardium (the scarring was so bad it covered his entire lungs and heart).

In March of 2018, Ernie went to New York Presbyterian Hospital for open-heart surgery to remove his pericardium and also if it could be done his lung fibrosis. We were all told of the possible outcomes of this surgery, but Ernie wanted a chance at life. By then he was on oxygen 24/7, he couldn’t sleep in his bed, he had to be upright to breathe. The day of the surgery came and it was so nerve-wracking. After a couple hours we were called up to the surgeon’s office and he told us after he removed the outer pericardium, Ernie’s pressure dropped and he would have died, so they had to put him on an ECMO machine.

Ernie was on ECMO for 4 months. They tried to remove it once or twice, but both times he wouldn’t have survived. So the only option was to track him and get him off ECMO so he could go home. We transferred him back to Albany for 3 weeks, then he came home for 3 weeks before passing away on Sept. 2, 2018. His obit says Sept. 5, 2018, but we all believe he was just kept alive for 3 extra days on the ventilator until we decided to turn it off. He had suffered a major heart attack on 9/2/18 at home and was down for 10 minutes before the ambulance was able to get a beat back. The damage to his brain was catastrophic. We sat by him for his last 3 days. He wasn’t there, but we had to wait for the tests to confirm the brain damage before we could let him go.

Ernie was a one-of-a-kind person. Most who met him loved him and only had good things to say about him. He was the family coordinator and loved everyone. He had a strong faith in Jesus and fought to live for every day he had. I’ve never known anyone as strong mentally as him. I miss him every day and I know we will be together again.

It is great that my daughter Jennifer, now 29 years old with 3 boys, has not had any Degos issues since being diagnosed in 2011. She continues to have benign disease, only getting one or two spots per year.

If there is anything Ernie taught us it was to never give up hope, never stop living to your fullest. In his time being sick he graduated from high school, received a Bachelor’s degree in Biology and got accepted to nursing school. He wasn’t letting Degos stop him. He was also engaged to a wonderful person, Keeley, who loved him and took care of him like we did.

Those who knew him were lucky and blessed.

Sue DuPont