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A Case of Eczematoid Graft‐Versus‐Host Disease
Author(s) -
Chong Jin Ho,
Tawng Khawn,
Liew Hui Min,
Soh Shui Yen,
Tan Ah Moy,
Koh Mark Jean Aan
Publication year - 2016
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12840
Subject(s) - medicine , spongiosis , dermatology , graft versus host disease , palmoplantar keratoderma , eczematous dermatitis , hematopoietic stem cell transplantation , ichthyosis , dyskeratosis , seborrheic dermatitis , atopy , hyperkeratosis , transplantation , immunopathology , immunology , surgery
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.