Bacillary (epithelioid) angiomatosis and concurrent Kaposi's sarcoma in acquired immunodeficiency syndrome.

Two patients with acquired immunodeficiency syndrome developed simultaneous Kaposi's sarcoma and bacillary (epithelioid) angiomatosis. The distinguishing clinical and histologic features of these two vascular proliferations associated with human immunodeficiency virus disease are described. The lesions of bacillary (epithelioid) angiomatosis contained bacteria, while the lesions of Kaposi's sarcoma did not. With erythromycin therapy, the lesions of bacillary (epithelioid) angiomatosis cleared, while those of Kaposi's persisted. Bacillary (epithelioid) angiomatosis, a treatable but potentially fatal opportunistic infection of human immunodeficiency virus disease, should be considered in the differential diagnosis of vascular lesions in immunosuppressed patients.

[1]  G. Omura,et al.  Human immunodeficiency virus-associated skin lesions. , 1989, JAMA.

[2]  M. Flessner.  A tough diagnosis in a neutropenic patient: it's cat-scratch disease. , 1989, JAMA.

[3]  P. Leboit,et al.  Cutaneous vascular lesions and disseminated cat-scratch disease in patients with the acquired immunodeficiency syndrome (AIDS) and AIDS-related complex. , 1988, Annals of internal medicine.

[4]  D. Silvers,et al.  Unique vascular skin lesions associated with human immunodeficiency virus. , 1988, JAMA.

[5]  A. Macher,et al.  EPITHELIOID ANGIOMATOSIS IN HIV INFECTION: NEOPLASM OR CAT-SCRATCH DISEASE? , 1988, The Lancet.

[6]  M. Stoler,et al.  EPITHELIOID HAEMANGIOMA-LIKE VASCULAR PROLIFERATION IN AIDS: MANIFESTATION OF CAT SCRATCH DISEASE BACILLUS INFECTION? , 1988, The Lancet.

[7]  C. Fisher,et al.  EPITHELIOID ANGIOMATOSIS: A VARIANT OF KAPOSI'S SARCOMA , 1987, The Lancet.

[8]  C. Cockerell,et al.  EPITHELIOID ANGIOMATOSIS: A DISTINCT VASCULAR DISORDER IN PATIENTS WITH THE ACQUIRED IMMUNODEFICIENCY SYNDROME OR AIDS-RELATED COMPLEX , 1987, The Lancet.

[9]  R. Erlandson,et al.  Histology, Immunohistochemistry, and Ultrastructure of the Verruga in Carrion's Disease , 1986, The American journal of surgical pathology.

[10]  M. Stoler,et al.  An atypical subcutaneous infection associated with acquired immune deficiency syndrome. , 1983, American journal of clinical pathology.

[11]  K. Grice,et al.  Eruptive angiomata in malignant disease , 1978, Clinical and experimental dermatology.