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  Vol. 124 No. 5, May 1988 TABLE OF CONTENTS
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Acute Follicular Graft-vs-Host Reaction

A Distinct Clinicopathologic Presentation

Kenneth J. Friedman, MD; Philip E. LeBoit, MD; Evan R. Farmer, MD

Arch Dermatol. 1988;124(5):688-691.


Abstract

• Human graft-vs-host disease (GVHD) is a life-threatening complication that may occur following allogeneic bone marrow transplantation. In acute GVHD, skin involvement is frequent, and the skin is often the initial organ involved. The rash typically is a blanchable, erythematous macular eruption. We present the first report of follicular cutaneous GVHD. Three patients developed follicular papules simulating bacterial or fungal folliculitis as a major clinical expression of cutaneous involvement in acute GVHD following allogeneic bone marrow transplantation. In each case, histopathologic examination demonstrated features of acute graft-vs-host reaction involving hair follicles. This suggests that follicular epithelium may be an early target in acute GVHD.

(Arch Dermatol 1988;124:688-691)



Author Affiliations

From the Department of Dermatology, Johns Hopkins Medical Institutions, Baltimore (Drs Friedman and Farmer); and the Departments of Dermatology and Pathology, University of California School of Medicine at San Francisco (Dr LeBoit).


Footnotes

Accepted for publication Dec 17, 1987.

Reprint requests to Department of Dermatology, Johns Hopkins Medical Institutions, 600 N Wolfe St, Baltimore, MD 21205 (Dr Friedman).



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