title: A Case of Eczematoid Graft-Versus-Host Disease.
abstract: A 13-year-old boy underwent allogeneic hematopoietic stem cell transplantation (HSCT) for underlying acute lymphoblastic leukemia and achieved neutrophil engraftment 28 days after HSCT. He developed ichthyosis 6 weeks after HSCT and then keratotic follicular papules, palmoplantar keratoderma, and a seborrheic dermatitis-like eruption 18 weeks after HSCT. From skin biopsies he was diagnosed with eczematoid graft-versus host disease (GVHD), which showed spongiosis with scattered necrotic keratinocytes. He responded to oral and topical steroids and an increase in cyclosporine dose. Although uncommon, eczematoid GVHD must be considered in children who have undergone HSCT and then develop an atypical eczematous eruption, especially in the absence of a history of atopy.
authors.affiliation: Dermatology Service, KK Women's and Children's Hospital, Singapore.
authors.forename: Jin Ho
authors.initials: JH
authors.lastname: Chong
authors.affiliation: Paediatric Haematology / Oncology, KK Women's and Children's Hospital, Singapore.
authors.forename: Khawn
authors.initials: K
authors.lastname: Tawng
authors.affiliation: Dermatology Service, KK Women's and Children's Hospital, Singapore.
authors.forename: Hui Min
authors.initials: HM
authors.lastname: Liew
authors.affiliation: Paediatric Haematology / Oncology, KK Women's and Children's Hospital, Singapore.
authors.forename: Shui Yen
authors.initials: SY
authors.lastname: Soh
authors.affiliation: Paediatric Haematology / Oncology, KK Women's and Children's Hospital, Singapore.
authors.forename: Ah Moy
authors.initials: AM
authors.lastname: Tan
authors.affiliation: Dermatology Service, KK Women's and Children's Hospital, Singapore.
authors.forename: Mark Jean Aan
authors.initials: MJ
authors.lastname: Koh