title: Bacillary angiomatosis in an HIV seronegative patient on systemic steroid therapy.
abstract: 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.
authors.affiliation: UMD-New Jersey Medical School, Newark 07103-2714, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Schwartz
authors.forename: M A
authors.initials: MA
authors.lastname: Gallardo
authors.forename: R
authors.initials: R
authors.lastname: Kapila
authors.forename: P
authors.initials: P
authors.lastname: Gascón
authors.forename: J
authors.initials: J
authors.lastname: Herscu
authors.forename: I
authors.initials: I
authors.lastname: Siegel
authors.forename: W C
authors.initials: WC
authors.lastname: Lambert
mesh_terms: D000328:Adult; D016917:Angiomatosis, Bacillary / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017963:Azithromycin / Q000627:therapeutic use; D005938:Glucocorticoids / Q000009:adverse effects* / Q000627:therapeutic use; D018023:HIV Seronegativity; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000009:adverse effects* / Q000627:therapeutic use; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D012867:Skin / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D017963:Azithromycin; D011239:Prednisolone