Unusual eruption as a presenting symptom of cat scratch disease - 07/09/11
Abstract |
Cat scratch disease (CSD) is a common infectious cause of subacute regional lymphadenopathy. Bartonella henselae is the principal etiologic agent. About 10% of CSD patients experience atypical manifestations, including rashes. The most common cutaneous manifestation of CSD is a papule at the inoculation site. We report a case of CSD presenting with an eruption on the upper trunk, reminiscent of Sweet’s syndrome, accompanied by lymphadenopathy, arthralgia, and fever. Response to systemic corticosteroids was remarkable. Histopathologic findings refuted the diagnosis of Sweet’s syndrome. Identification of anti-B henselae antibodies and B henselae DNA in the affected lymph node confirmed the diagnosis of CSD. This is a first report of extensive papuloedematous eruption as a cutaneous manifestation of CSD. Accurate diagnosis is possible due to the availability of serological tests and DNA amplification techniques. (J Am Acad Dermatol 1999;41:833-6.)
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This supplement is made possible through an educational grant from Ortho Dermatological to the American Academy of Dermatology. |
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Reprint requests: Marina Landau, MD, Department of Dermatology, Tel Aviv-Elias Sourasky Medical Center 6, Weizman Street, Tel Aviv 64239 Israel. E-mail: olandau@ibm.net |
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0190-9622/99/$8.00 + 0 16/4/96950 |
Vol 41 - N° 5S
P. 833-836 - novembre 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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