THROMBOCYTOPENIC PURPURA ASSOCIATED WITH CAT-SCRATCH DISEASE Response of Cat-Scratch Disease to Steroid Hormones

IT IS THE purpose of this paper to report the occurrence of thrombocytopenic purpura during typical cat-scratch disease and the probable relationship of the two conditions. This association has not previously been noted in the literature. It is the further purpose of this paper to note the salutory effects of corticotropin (ACTH) and cortisone on the lymphadenopathy of cat-scratch disease, another fact not previous reported. REPORT OF A CASE A 26-year-old grade school teacher was admitted to the hospital on Jan. 27, 1953. Five weeks before admission he had been scratched on the tip of the fourth finger of his right hand by his cat. After several days the scratch began to swell, and a few days later the patient noted painful swelling of a right axillary lymph node, followed in one week by painful swelling of a right epitrochlear lymph node. During this period the patient felt fatigued, ached