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Localised bacillary angiomatosis of the tongue |
European Journal of Dermatology. Volume 8, Number 4, 283-4, June 1998, Votre diagnostic ?
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 Free Article
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Author(s) : Donato CALISTA, Antonio BOSCHINI, Felice GIANGASPERO |
Summary : A 37-year-old woman with a 6 year history of acquired immunodeficiency syndrome (AIDS) was seen for evaluation of an inflammed ulcerated lesion on the tip of her tongue which lasted for 1 month
(Fig. 1). The patient was taking prophylactic doses of gancyclovir for severe cytomegalovirus (CMV) retinitis, which had reduced her visual acuity considerably, and pentamidine inhalations for Pneumocystis carinii pneumonitis. Laboratory tests were as follows: total T cell count 1,091 mm3, CD4+ cells 6 mm3, CD8+ cells 234 mm3, CD4+/CD8+ ratio 0.02. Superficial lymph-nodes were normal. Our presumed diagnosis was of an ulcerated lesion caused by CMV or by an atypical mycobacteriosis and a punch biopsy was taken to confirm the diagnosis (Figs. 2 and 3). |
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