Daye S, McHenry J A, Roscelli J D
Department of Pediatrics, Letterman Army Medical Center, Presidio of San Francisco, CA 94129-6700.
Pediatrics. 1988 Apr;81(4):559-61.
Cat scratch disease is a benign, self-limited illness characterized by regional lymphadenopathy that usually occurs in association with a history of contact with a cat. Cases of cat scratch disease with skin manifestations that included erythema nodosum; erythema multiforme; erythema marginatum; and non-specific maculopapular, petechial, and morbilliform rashes have been reported. No case of pruritic rash associated with cat scratch disease has been previously reported. In fact, one authority specifically states that the rash of cat scratch disease is nonpruritic. We report a well-documented case of cat scratch disease in which the patient's principal symptom was a pruritic rash. It is possible that this rash was the result of an immunologic reaction to the infectious agent of cat scratch disease. We conclude that cat scratch disease should be included in the differential diagnosis of pruritic rashes in children.
猫抓病是一种良性的自限性疾病，其特征为局部淋巴结病，通常与接触猫的病史相关。有报道称猫抓病出现皮肤表现，包括结节性红斑、多形红斑、边缘性红斑以及非特异性斑丘疹、瘀点和麻疹样皮疹。此前尚无与猫抓病相关的瘙痒性皮疹病例报道。事实上，有权威人士明确指出猫抓病的皮疹无瘙痒感。我们报告一例有充分记录的猫抓病病例，该患者的主要症状为瘙痒性皮疹。这种皮疹可能是对猫抓病病原体的免疫反应所致。我们得出结论，猫抓病应纳入儿童瘙痒性皮疹的鉴别诊断。
