, verruca hyperkeratotica 

verruca hyperkeratotica

Indie — strony, Obrazki i wiele więcej na WordPress

W opisanym przez badaczy niemieckich przypadku Bart spowodowala chroniczne
zapalenie naczyn krwionosnych oraz polineuropatie.
Czterdziestoletni pacjent manifestowal nawracajace owrzodzenia palcow u nog,
obwodowa polineuropatie oraz chorobe Raynnauds. Sterydy mu nie pomogly (jakos
mnie to nie dziwi, dziwi mnie, ze spodziewali sie, ze pomoga).
Erytromycyna troche zaczela mu pomagac.

Infection. 2007 Apr;35(2):107-9.

Chronic Vasculitis and Polyneuropathy due to Infection with Bartonella henselae.

Stockmeyer B, Schoerner C, Frangou P, Moriabadi T, Heuss D, Harrer T.

Dept. of Medicine III, University Hospital Erlangen, Krankenhausstr. 12,
91054, Erlangen, Germany, Thomas.Harrer@med3.imed.uni-erlangen.de.

Bartonella henselae, the causative agent of cat scratch disease and
bacillary angiomatosis, is associated with an expanding spectrum of diseases.
Here, we report on a 40-year-old patient suffering from chronic recurrent
painful ulcers of the toes, distal axonal sensomotor polyneuropathy and
Raynaud's phenomenon. Biopsy of the sural nerve demonstrated an axonal
neuropathy with a neurogenic muscular atrophy. Treatment with high dose
corticosteroids had no beneficial effect. A biopsy taken from a recurring ulcer
7 years after the beginning of the disease revealed superficial ulcerated
hyperkeratosis with subepithelial proliferation of small vessels compatible with
a diagnosis of verruca peruana, however, without detection of microorganism.
Serologic analysis revealed an elevated IFT titer of 1:1,024 against B.
henselae. Treatment with erythromycin induced healing of the ulcer, remission of
the vasculitis and the polyneuropathy, and a decline of the IFT titer. This case
illustrates that B. henselae infection should be considered in patients with
vasculitis and polyneuropathic syndromes.