Bacillary angiomatosis Bartonella Henselae / quintana

• History / PE:
  Constitutional symptoms (fever, malaise, weight loss)
  Large, pedunculated exophytic papule with a collarette of scale, that resembles a large pyogenic granuloma or cherry angioma
• Diagnosis:
  Tissue biopsy, microscopic identification
  
• Treatment:
  Oral erythromycin
• Associated With:
  Immunosuppressed patients