title: [Skin manifestations in adults with a liver allograft].
abstract: BACKGROUND
  Skin manifestations after liver transplantation are increasing due to long term immunosuppressive therapy along with an increase in patient survival. Several studies have reported dermatologic complications following renal transplant, but few have studied dermatologic problems after liver transplantation.
  
  
  OBJECTIVE
  To describe the different types of cutaneous lesions encountered in adults receiving a liver allograft. To evaluate the frequency of cutaneous manifestations of patients in the liver transplant waiting list.
  
  
  METHODS
  Eighty patients submitted to a liver transplant and 70 patients in the liver transplant waiting list were evaluated with a complete dermatological physical examination.
  
  
  RESULTS
  Sixty one percent of patients with a liver allograft had at least one skin manifestation. Of these, 34% had superficial fungal infections, 31% had viral infections, 20% had cutaneous side effects due to immunosuppressive treatment, 10% had malignant lesions, 2% had bacterial infections and one patient had a graft versus host disease. Only 28% of patients in the liver transplant waiting list had dermatologic problems, and the vast majority were lesions linked to liver cirrhosis.
  
  
  CONCLUSIONS
  Cutaneous infections were the most common skin problems in liver transplant patients. Although neoplastic lesions are the most commonly mentioned lesions in the literature, only a 10% of our liver transplant patients presented these type of lesions.
authors.forename: Francisca
authors.initials: F
authors.lastname: Daza
authors.forename: Jaime
authors.initials: J
authors.lastname: Poniachik
authors.forename: Viviana
authors.initials: V
authors.lastname: Zemelman
authors.forename: José
authors.initials: J
authors.lastname: Ibarra
authors.forename: Miguel
authors.initials: M
authors.lastname: Espinoza
authors.forename: Jaime
authors.initials: J
authors.lastname: Castillo
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Cardemil
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Díaz
authors.forename: Alexandre
authors.initials: A
authors.lastname: Saure
authors.forename: Hans
authors.initials: H
authors.lastname: Lembach
authors.forename: Perla
authors.initials: P
authors.lastname: Calderón
mesh_terms: D000328:Adult; D000368:Aged; D002677:Chile / Q000453:epidemiology; D016572:Cyclosporine / Q000009:adverse effects; D003881:Dermatomycoses / Q000453:epidemiology*; D005260:Female; D006801:Humans; D006983:Hypertrichosis / Q000139:chemically induced; D007165:Immunosuppression Therapy / Q000009:adverse effects; D008103:Liver Cirrhosis / Q000150:complications; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D017193:Skin Diseases, Viral / Q000453:epidemiology*; D014850:Waiting Lists
chemical_list: D016572:Cyclosporine