Localized bacillary angiomatosis in the oral cavity: observations about a neoplasm with atypical behavior. Description of a case and review of the literature.
Bacillary angiomatosis is a rather frequent infectious pathology appearing mainly in the skin but can also affect the liver, spleen, heart, bones, lungs, muscles, central nervous system and other organs. The localization of the lesion in the oral cavity is rather rare, as it is evident in the literature. Bacillary angiomatosis can be clinically similar to the Kaposi's sarcoma and histologically confused with angiosarcoma, epitheloid hemangioma and pyogenic granuloma. A case of bacillary angiomatosis of the oral cavity in an immuno-competent patient is described. The high tendency to relapse, the capability in migration and to involve several localizations at the same time have induced the authors to deepen the research to exclude the possibility that it could be a Kaposi's sarcoma or a pyogenic granuloma and to get to an accurate diagnosis in order to resolve the disease.
Department of Dentistry and Stomatology, Faculty of Medicine and Surgery I, La Sapienza University, Rome, Italy.
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Tucci
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Della Rocca
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Santilli
D000293:Adolescent; D000328:Adult; D000667:Ampicillin / Q000031:analogs & derivatives / Q000627:therapeutic use; D016917:Angiomatosis, Bacillary / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D018416:Bartonella henselae / Q000472:pathogenicity; D018413:Bartonella quintana / Q000472:pathogenicity; D002648:Child; D002710:Chlorhexidine / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D005887:Gingival Neoplasms / Q000175:diagnosis; D005891:Gingivitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D017789:Granuloma, Pyogenic / Q000175:diagnosis; D018323:Hemangioendothelioma, Epithelioid / Q000175:diagnosis; D006394:Hemangiosarcoma / Q000175:diagnosis; D006801:Humans; D008297:Male; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis; D012008:Recurrence; D012514:Sarcoma, Kaposi / Q000175:diagnosis; D014081:Tooth Extraction
D000667:Ampicillin; C011674:bacampicillin; D002710:Chlorhexidine