title: Chronic cutaneous lichenoid graft-versus-host disease at the area of herpes zoster infection and at a vaccination site.
abstract: Cutaneous graft-versus-host disease (GVHD) is a frequent complication of allogeneic bone marrow transplant and haematopoietic cell transplantation, but it is rarely presented as a Wolf's isotopic response. We report a patient who developed chronic lichenoid GVHD following the dermatomes previously affected by varicella zoster virus (VZV) infection. Nineteen months later, the same patient suffered from reactivation of GVHD at the injection site of an influenza vaccination. We review the literature concerning GVHD appearing after VZV infection and discuss the possible implications of this case and the pathogenic hypotheses.
authors.affiliation: Department of Dermatology, Hospital San Pedro, Logroño, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Palacios-Alvarez
authors.affiliation: Department of Pathology, Salamanca University Hospital, Paseo San Vicente, 88-182, 37007, Salamanca, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Santos-Briz
authors.affiliation: Department of Dermatology, Salamanca University Hospital, Paseo San Vicente, 88-182, 37007, Salamanca, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Jorge-Finnigan
authors.affiliation: Department of Dermatology, Salamanca University Hospital, Paseo San Vicente, 88-182, 37007, Salamanca, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Cañueto
authors.affiliation: Department of Dermatology, Salamanca University Hospital, Paseo San Vicente, 88-182, 37007, Salamanca, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Fernandez-López
authors.affiliation: Department of Dermatology, Salamanca University Hospital, Paseo San Vicente, 88-182, 37007, Salamanca, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Roman-Curto
mesh_terms: D016026:Bone Marrow Transplantation / Q000009:adverse effects; D002908:Chronic Disease; D005260:Female; D006086:Graft vs Host Disease / Q000209:etiology*; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects; D006562:Herpes Zoster / Q000150:complications*; D006801:Humans; D007252:Influenza Vaccines / Q000009:adverse effects*; D017512:Lichenoid Eruptions / Q000209:etiology*; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000628:therapy; D012008:Recurrence; D014184:Transplantation, Homologous
chemical_list: D007252:Influenza Vaccines