Multiple scattered granulomatous skin lesions in cat scratch disease.
We report a patient with cat scratch disease who presented with multiple scattered nodular lesions on the legs. Examination of skin biopsy specimens revealed a granulomatous pattern. In our opinion, this is a previously undescribed secondary cutaneous reaction of cat scratch disease. The pathogenesis of this reaction is unclear but some data suggest that the eruption might be caused by a hematogenous spread of cat scratch disease bacteria to the skin. Pathogenetic relationships with so-called bacillary angiomatosis, recently described in patients with acquired immunodeficiency syndrome, are reviewed here.
Calzavara-Pinton
P G
PG
Department of Dermatology, Hospital of Brescia, Italy.
Facchetti
F
F
Carlino
A
A
De Panfilis
G
G
D002372:Cat-Scratch Disease / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D005260:Female; D006099:Granuloma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D012871:Skin Diseases / Q000209:etiology* / Q000473:pathology