Teira R, López I, Zubero Z, Muñoz J, Careaga J M, Santamaría J M
Servicios de Anatomía Patológica, Hospital Civil de Bilbao.
Med Clin (Barc). 1993 Jun 12;101(3):102-4.
Bacillary angiomatosis (epithelioid) is a recently described clinicopathologic syndrome, principally associated to infection by the human immunodeficiency virus. The case of a patient who was seen for fever and the appearance of four painful, erythematous and indurated subcutaneous nodules on the anteroexternal face of the right lower extremity 15 days previously is presented. No microorganisms were observed by microbiologic and histologic techniques however the latter showed a vascular proliferation with prominent endothelium of epithelioid morphology and notable interstitial inflammatory reaction according to the pattern described as characteristic of epithelioid angiomatosis. The fever and the nodules disappeared spontaneously. The clinical and histopathologic characteristics of this disease as well as the recent contributions with respect to the identification of the possible causative bacillus are discussed.
杆菌性血管瘤病(上皮样)是一种最近才被描述的临床病理综合征,主要与人类免疫缺陷病毒感染有关。本文介绍了一名患者的病例,该患者15天前因发热就诊,右下肢前外侧面出现4个疼痛性、红斑性和硬结性皮下结节。微生物学和组织学技术未观察到微生物,但后者显示出血管增生,内皮细胞呈上皮样形态突出,并有明显的间质炎症反应,符合上皮样血管瘤病的特征模式。发热和结节自行消失。本文讨论了该疾病的临床和组织病理学特征以及关于可能致病杆菌鉴定的最新研究成果。