title: Multiple scattered granulomatous skin lesions in cat scratch disease.
abstract: 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.
authors.affiliation: Department of Dermatology, Hospital of Brescia, Italy.
authors.forename: P G
authors.initials: PG
authors.lastname: Calzavara-Pinton
authors.forename: F
authors.initials: F
authors.lastname: Facchetti
authors.forename: A
authors.initials: A
authors.lastname: Carlino
authors.forename: G
authors.initials: G
authors.lastname: De Panfilis
mesh_terms: 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