PEDIATRICS Vol. 81 No. 4 April 1988, pp. 559-561
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Pruritic Rash Associated With Cat Scratch Disease

Susanne Daye MC, USA1, John A. McHenry MS, USA1, and John D. Roscelli MC, USA1

1 From the Department of Pediatrics, Letterman Army Medical Center, Presidio of San Francisco

Cat scratch disease is a benign, self-limited illness characterized by regional lymphadenopathy that usually occurs in association with a history of contact with a cat. Cases of cat scratch disease with skin manifestations that included erythema nodosum; erythema multiforme; erythema marginatum; and nonspecific maculopapular, petechial, and morbilliform rashes have been reported. No case of pruritic rash associated with cat scratch disease has been previously reported. In fact, one authority specifically states that the rash of cat scratch disease is nonpruritic. We report a well-documented case of cat scratch disease in which the patient's principal symptom was a pruritic rash. It is possible that this rash was the result of an immunologic reaction to the infectious agent of cat scratch disease. We conclude that cat scratch disease should be included in the differential diagnosis of pruritic rashes in children.

Key Words: cat scratch disease • pruritus • rash • lymphadenitis • lymphadenopathy

Submitted on April 20, 1987
Accepted on June 26, 1987