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Bacillary angiomatosis associated with extensive esophageal polyposis: a new mucocutaneous manifestation of acquired immunodeficiency disease (AIDS)

Chang, A.D.; Drachenberg, C.I.; James, S.P.

American Journal of Gastroenterology 91(10): 2220-2223

1996

ISSN/ISBN: 0002-9270
PMID: 8855753
Document Number: 468528
A case of bacillary angiomatosis (caused by Bartonella henselae) is reported from Maryland, USA, in a 37-year-old man with human immunodeficiency virus who had recent prolonged exposure to a cat and presented with fever, iron deficiency anaemia and guaiac-positive stools. He had biopsy-proven bacillary angiomatosis skin lesions and on oesophagogastroduodenoscopy had multiple, diffuse, friable, polypoid lesions in the oesophagus. The histology of the oesophageal polyps was identical to the skin lesions, and the polyps disappeared after treatment with erythromycin. Bacillary angiomatosis should be included in the differential diagnosis of infectious upper gastrointestinal manifestations associated with AIDS.

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