Spontaneous resolution of facial papular mucinosis in a transplant patient.
A 37-year-old male developed facial papules 6 months post renal-pancreatic transplant. Histological findings were consistent with localized papular mucinosis; electrophoresis showed no paraprotein. A trial of erbium and aura lasers, at ablative doses, produced no improvement. Independent treatments with oral doxycycline, itraconazole, acitretin, and isotretinoin also had no effect. The facial papules improved spontaneously, 2 years after first presentation and 8 months after treatment ceased. The patient remains clear of lesions.
Braue
Anna
A
Department of Dermatology, Royal Melbourne Hospital, Parkville, Victoria, Australia. anna@braue.com
Dolianitis
Con
C
Varigos
George
G
D000328:Adult; D001707:Biopsy, Needle; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D016035:Pancreas Transplantation / Q000009:adverse effects*; D053718:Scleromyxedema / Q000209:etiology* / Q000473:pathology* / Q000628:therapy