KMID : 0363220200580050340
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Korean Journal of Dermatology 2020 Volume.58 No. 5 p.340 ~ p.343
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Miliaria Crystallina-like Eruption of Acute Graft-versus-host-disease after Liver Transplantation
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Bae Kyung-Nam
Shin Ki-Hyuk Yang Min-Young Lee Won-Ku Kim Tae-Wook Kim Hoon-Soo Ko Hyun-Chang Kim Byung-Soo Kim Woo-Il
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Abstract
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Acute graft-versus-host disease (GVHD) is a common complication associated with bone marrow transplantation. In the rare cases where it occurs after solid organ transplantation, including that of the liver, pancreas, or heart, it often has fatal outcomes. A 50-year old man developed whole-body flaccid vesiculobullous eruption 6 weeks after living donor liver transplantation. Skin biopsy revealed epidermal necrosis with vacuolization of the basal layer and lymphocytic infiltration in the dermis. Stomach erosions were found during an endoscopy, and a concurrent biopsy revealed severe epithelial necrosis. GVHD was diagnosed, with mixed chimerism confirmed using short tandem repeat testing. Immunosuppressive agent therapy was instituted, but the patient expired from hematologic complications and brain damage 6 weeks after treatment initiation. Skin lesions in GVHD generally appear with erythematous maculopapular eruption, but some atypical cutaneous manifestations could be unnoticed by physicians.
This report describes miliaria crystallina-like eruption of acute GVHD after liver transplantation.
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KEYWORD
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Graft-versus-host-disease, Liver transplantation
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