PMID: 7543264Aug 1, 1995Paper

Cutaneous bacillary angiomatosis in a patient with chronic lymphocytic leukemia

Archives of Dermatology
P MildeT Ruzicka

Abstract

Bacillary angiomatosis is a recently described vascular disorder that is associated with infection by Bartonella henselae (formerly known as Rochalimaea henselae) and Bartonella quintana (formerly known as Rochalimaea quintana); this disorder usually occurs in patients with human immunodeficiency virus infection. We report a case of cutaneous bacillary angiomatosis that occurred in a patient with chronic lymphocytic leukemia. A 55-year-old man with chronic lymphocytic B-cell leukemia, Rai stage IV, presented with multiple angiomatous papules that clinically resembled pyogenic granulomas. Histopathologic examination revealed circumscribed lobules of small vessels with plump endothelial cells, numerous neutrophils, and abundant nuclear dust; these features were diagnostic for bacillary angiomatosis. The diagnosis was confirmed by the Grocott-Gomori methenamine-silver nitrate stain that revealed argyrophilic bacteria and by ultrastructural demonstration of bacillary structures with trilaminar walls. Treatment with clarithromycin led to complete resolution of the lesions within 4 weeks. This case emphasizes that (1) bacillary angiomatosis must be considered in the differential diagnosis of vascular lesions in immunocompromised pati...Continue Reading

Citations

May 1, 1996·Clinics in Dermatology·S M Manders
Jun 1, 2013·Journal of the Pediatric Infectious Diseases Society·Anita K McElroyTodd M Cooper
May 10, 2007·Leukemia & Lymphoma·Ewa Robak, Tadeusz Robak
Oct 16, 2010·Journal of Medical Microbiology·Natasha E HolmesTony M Korman
Mar 14, 2001·Revista Do Instituto De Medicina Tropical De São Paulo·J L GazineoS A Nogueira
Nov 29, 2005·Journal of the American Academy of Dermatology·Itzhak LevyDan Ben-Amitai
Feb 4, 2006·The American Journal of Dermatopathology·Sean AmsbaughSimon Warren
Oct 29, 1998·AIDS·S GasquetD Raoult
Jun 9, 2020·Experimental and Therapeutic Medicine·Mihaela BalabanGabriela Turcu
May 28, 2013·Case Reports in Infectious Diseases·Rosamaria FulchiniKatia Boggian

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