title: Halo naevi and café au lait macule regression in a renal transplant patient on immunosuppression.
abstract: A case of halo naevi and café au lait macule regression in a renal transplant patient receiving long-term immunosuppressive therapy is described. We propose the direct transfer of an auto-reactive antibody, CD8 T-cells or tumour necrosis factor α from the transplant donor to the recipient as a possible cause. We have also considered insufficient immunosuppressive therapy as a possible mechanism.
authors.affiliation: Eastern Health (Box Hill Hospital), Melbourne, Victoria, Australia.
authors.forename: Helena
authors.initials: H
authors.lastname: Lolatgis
authors.affiliation: Royal Melbourne Hospital, Melbourne, Victoria, Australia.
authors.forename: George
authors.initials: G
authors.lastname: Varigos
authors.affiliation: Royal Melbourne Hospital, Melbourne, Victoria, Australia.
authors.forename: Anna
authors.initials: A
authors.lastname: Braue
authors.affiliation: Royal Melbourne Hospital, Melbourne, Victoria, Australia.
authors.forename: Laura
authors.initials: L
authors.lastname: Scardamaglia
authors.affiliation: St Vincent's Hospital, Melbourne, Victoria, Australia.
authors.forename: Ann
authors.initials: A
authors.lastname: Boyapati
authors.affiliation: Royal Melbourne Hospital, Melbourne, Victoria, Australia.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Winship
mesh_terms: D000328:Adult; D019080:Cafe-au-Lait Spots / Q000150:complications*; D006801:Humans; D017496:Hypopigmentation / Q000150:complications* / Q000276:immunology; D007165:Immunosuppression Therapy; D016030:Kidney Transplantation; D008297:Male; D055882:Nevus, Halo / Q000150:complications* / Q000276:immunology
keywords: alopecia; depigmentation; halo naevi; immunosuppression; renal transplant; vitiligo