Miliaria Crystallina-like Eruption of Acute Graft-versus-host-disease after Liver Transplantation
- Author:
Kyungnam BAE
1
;
Kihyuk SHIN
;
Minyoung YANG
;
Won-Ku LEE
;
Taewook KIM
;
Hoon-Soo KIM
;
Hyun-Chang KO
;
Byung Soo KIM
;
Moon-Bum KIM
;
Woo-il KIM
Author Information
1. Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
- Publication Type:Case Report
- From:Korean Journal of Dermatology
2020;58(5):340-343
- CountryRepublic of Korea
-
Abstract:
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.
