Circumocular exanthema associated with chronic rejection after kidney transplantation.
A 43-year-old man had severe circumocular exanthema associated with chronic rejection 10 years after receiving a kidney transplant to treat end-stage renal failure. After the renal allograft was extracted, the exanthema diminished rapidly without any treatment. Donor-reactive immune cells seem to have cross-reacted with unknown pathogens on the skin and contributed to inflammation.
Division of Nephrology, Department of Medicine, Jichi Medical University, Tochigi, Japan. ymori@jichi.ac.jp
Yoshiyuki
Y
Morishita
Tetsuo
T
Umino
Takahisa
T
Kobayashi
Yukio
Y
Miyata
Eiji
E
Kusano
D000328:Adult; D001706:Biopsy; D015984:Causality; D002908:Chronic Disease; D019557:Dermatitis, Perioral / Q000175:diagnosis / Q000209:etiology*; D005076:Exanthema / Q000175:diagnosis / Q000209:etiology*; D006084:Graft Rejection / Q000145:classification / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male