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[艾滋病患者口腔的杆菌性血管瘤病。黏膜卡波西肉瘤的鉴别诊断]

[Bacillary angiomatosis of the oral cavity in AIDS. A differential diagnosis of mucosal Kaposi's sarcoma].

作者信息

Hofman P, Raspaldo H, Michiels J F, Garnier G, Santini J

机构信息

Service d'Anatomie Pathologique, Hôpital Pasteur, Nice.

出版信息

Rev Stomatol Chir Maxillofac. 1993;94(6):375-8.

PMID:8278795
Abstract

The diagnosis of bacillary angiomatosis (BA) was performed on a biopsy of a reddish nodular lesion of the gingival mucosa, in a patient seropositive for the H.I.V. It was based on the histopathological features, and by the demonstration of bacilli both on the Warthin-Starry stain and the electron microscopic study. A treatment by erythromycin was quickly effective. BA is an opportunistic infection seen essentially in patients with A.I.D.S., most often causing cutaneous involvement. The causative pathogen is Rochalimaea henselae. BA of the oral cavity is very rare. This infection can be mistaken with Kaposi sarcoma on its clinical appearance.

摘要

对一名艾滋病毒血清阳性患者牙龈黏膜红色结节性病变进行活检后诊断为杆菌性血管瘤病(BA)。诊断依据组织病理学特征,以及在Warthin-Starry染色和电子显微镜研究中均发现杆菌。红霉素治疗迅速显效。BA是一种机会性感染,主要见于艾滋病患者,最常引起皮肤受累。病原体是汉赛巴尔通体。口腔BA非常罕见。这种感染在临床表现上可能会与卡波西肉瘤相混淆。

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引用本文的文献

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An unusual case of bacillary angiomatosis in the oral cavity of an AIDS patient who had no concomitant tegumentary lesions - case report and review.一名艾滋病患者口腔出现罕见的杆菌性血管瘤病,无皮肤病变伴随——病例报告及文献复习
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