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August 16, 2010

Bacillary Angiomatosis After Skin Autografting in a Patient Without Human Immunodeficiency Virus Who Was Treated With Interferon Alfa

Author Affiliations

Author Affiliations: Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Arch Dermatol. 2010;146(8):918-935. doi:10.1001/archdermatol.2010.190

In April 2009, a 42-year-old woman was seen with a huge angiomatous lesion on her hand of nearly 8 months' duration. Eight months before, she had been cut by an unknown plant, and a red papule occurred at the place of the incised wound after several days. She applied antibiotic cream topically, which did not work. Two months before seeing us, she was referred for plastic surgery; the lesion was excised, and she received a split-thickness skin graft using 2 pieces of skin obtained from the left side of her abdomen. Thereafter, lesions erupted both at the sites from which the surgeons took the skin and at the site where the skin was grafted. These lesions gradually enlarged over the next 2 months, and she was referred to our outpatient clinic for evaluation.

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