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November 1989

Bacillary (Epithelioid) Angiomatosis and Concurrent Kaposi's Sarcoma in Acquired Immunodeficiency Syndrome

Author Affiliations

From the Department of Dermatology, San Francisco (Calif) General Hospital (Dr Berger), and the Departments of Dermatology (Drs Berger, Tappero, and Kaymen) and Pathology (Dr LeBoit), University of California, San Francisco.

Arch Dermatol. 1989;125(11):1543-1547. doi:10.1001/archderm.1989.01670230085015

• 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.

(Arch Dermatol. 1989;125:1543-1547)

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