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Rare cases of immune disturbances after solid organ grafting have been described, mainly autoimmune hepatitis, bullous autoimmune skin diseases, and autoimmune cytopaenia. We describe here a patient who developed two similar flares of bullous pemphigoid (BP) in a setting of recurrent chronic renal graft rejection.

Chronic Renal Graft Rejection-associated Bullous Pemphigoid: A Cross-reactive Immune Response?