Bacillary angiomatosis in an HIV‐positive patient. Good response to Dapsone

Fernández-Bussy, Ramón; Alonso, Alvaro; Carlson, Damián; Ramonda, S.; Salerni, Gabriel; Reeves, Gillian

doi:10.1111/j.1468-3083.1995.tb00353.x

Acad Dermatol Venereol

1995

DOI: 10.1111/j.1468-3083.1995.tb00353.x

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Bacillary angiomatosis in an HIV‐positive patient. Good response to Dapsone

Ramón Fernández-Bussy

Alvaro Alonso

Damián Carlson

et al.

Abstract: Object Report the case of a 25 year old HIV patient who developed bacillary angiomatosis. Setting Department of Dermatology, Centenary Hospital, Rosario, Argentina. Objective The patient failed to respond to the standard treatment with erythromycin. Result The patient showed improved by the administration of Dapsone along with Zidovudine. Conclusion This case is reported both because it is a rarely seen disease as well as because a good therapeutic response is obtained.

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Bacillary angiomatosis in an HIV seronegative patient on systemic steroid therapy

Schwartz¹,

Gallardo²,

Kapila³

et al. 1996

British Journal of Dermatology

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Bacillary angiomatosis is an unusual systemic vascular proliferation seen predominantly in patients with the acquired immunodeficiency syndrome. These vascular lesions are due to infection with a Bartonella species, most commonly B. henselae, but sometimes B. quintana. It is treatable and often curable, but without therapy may be life-threatening. Clinically, the disorder often resembles several different vascular disorders, particularly pyogenic granuloma and Kaposi's sarcoma. We now report a clinically typical patient with bacillary angiomatosis who was HIV seronegative, but who had idiopathic thrombocytopenic purpura, was status-post splenectomy and to whom long-term systemic prednisone had been administered.

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Bacillary angiomatosis in an HIV seronegative patient on systemic steroid therapy

Schwartz¹,

Gallardo²,

Kapila³

et al. 1996

British Journal of Dermatology

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Bacillary angiomatosis: presentation of six patients, some with unusual features

Schwartz¹,

Nychay²,

Jänniger³

et al. 1997

British Journal of Dermatology

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Bacillary angiomatosis (BA) is an unusual systemic vascular proliferation seen predominantly in patients with the acquired immunodeficiency syndrome. These vascular lesions are probably due to infection with a Bartonella species, most often B. henselae and, in some patients, B. quintana. BA is treatable and often curable, but without therapy, may be life-threatening. Clinically, the lesions, when superficial, are said to often resemble pyogenic granulomas, appearing polypoid histologically with an epidermal collarette. We now report six patients, three of whom showed lesions of BA morphologically and histologically distinct from the other patients reported to date. Two patients lesions appeared clinically as violaceous plaques and tumours resembling Kaposi's sarcoma; one of them had lesions histologically reminiscent of a papular angiokeratoma; and the other had lesions histologically suggestive of a combination of Kaposi's sarcoma and BA. Another patient presented with soft subcutaneous nodules which histologically showed extensive acute inflammation characteristic of an acute abscess, but which also displayed proliferating dilated small blood vessels with bulbous endothelial cells adjacent to numerous bacteria and also containing them. The Grocott-methenamine silver stain and the Warthin-Starry stain showed the organisms to better advantage in lesions of all six patients, although bacteria were also evident with the haematoxylin and eosin, periodic acid-Schiff and alcian blue stains.

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Bacillary angiomatosis in a human immunodeficiency virus negative patient: A rare case

Gaxa¹,

Bafana²

2015

Case Rep Int

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Introduction: Although bacillary angiomatosis is generally known to be an opportunistic condition in immunosuppressed individuals there are extremely rare and exceptional occasions where it occurs in immunocompetent individuals. the incidence of bacillary angiomatosis in immunocompetent persons is not documented in the literature mainly due to the rarity of this condition in immunocompetent individuals. routine histopathological evaluation helps in confirming the diagnosis of its varied presentations like infected lymphadenopathy, bone lesions, bacillary peliosis of the liver or the spleen as well as cutaneous bacillary angiomatosis. Giving four doses of 250-500 mg dose of erythromycin per day has proved to be the most successful treatment option and other antibiotics like Doxycycline 100 mg twice a day and ciprofloxacin are also showing good results. case report: We report a retro viral disease negative in a seven-year-old girl who presented to us with a six-month history of bilateral neck fast growing masses. birth history showed that the patient was delivered through a normal vaginal delivery with an uneventful birth history. the

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Bacillary angiomatosis in an HIV‐positive patient. Good response to Dapsone

Cited by 3 publications

References 11 publications

Bacillary angiomatosis in an HIV seronegative patient on systemic steroid therapy

Bacillary angiomatosis in an HIV seronegative patient on systemic steroid therapy

Bacillary angiomatosis: presentation of six patients, some with unusual features

Bacillary angiomatosis in a human immunodeficiency virus negative patient: A rare case

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