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Skin - Nonmelanocytic tumors
Vascular tumors
Bacillary angiomatosis
Reviewer: Christopher Hale, M.D. (see Reviewers page)
Revised: 16 July 2012, last major update July 2012
Copyright: (c) 2001-2012, PathologyOutlines.com, Inc.
General
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● Due to infection by Bartonella henselae
● May involve soft tissue, lymph nodes, internal organs
● May coexist with Kaposi’s sarcoma
● Reactive but mimics a neoplasm, and commonly presents as multiple cutaneous neoplasms in HIV patients
Treatment
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● Antibiotics
Case reports
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● 36 year old man with AIDS, skin lesions, fever and weight loss
(Can J Infect Dis Med Microbiol 2005;16:249)
Clinical images
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Exophytic lesion on neck
Small, cherry angiomata-like lesions and nodules on trunk
Gross description
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● Red papules/nodules
Micro description
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● Lobules of capillaries with epithelioid endothelial cells
● Also fragmented neutrophils, granular purple extracellular bacteria
Micro images
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Electron microscopy description
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● Bacteria with trilaminar cell walls
(Can J Infect Dis Med Microbiol 2005;16:249)
Positive stains
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● Silver stains (bacteria)
Differential diagnosis
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● Verruga peruana
● Kaposi sarcoma
End of Skin - Nonmelanocytic tumors > Vascular tumors > Bacillary angiomatosis
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