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Ross M. Campbell, MD; Amy Ney, MD; Reginald Gohh, MD; Leslie Robinson-Bostom, MD
Brown Medical School, Providence, RI

Arch Dermatol. 2006;142:1643-1648.

	Since this article does not have an abstract, we have provided the first 137 words of the full text and any section headings.

REPORT OF A CASE

A 48-year-old woman presented with a 6-month history of pink papules with central spiny projections scattered over her face, arms, and legs. Her medical history was significant for kidney transplantation, which she had undergone because of lupus-related nephropathy and renal failure 9 years earlier. At the onset of her skin lesions, her immunosuppression therapy consisted of tacrolimus and mycophenylate mofetil. She denied having taken cyclosporine.

Physical examination revealed numerous 2- to 4-mm discrete, asymptomatic, erythematous, pink papules with central spiny projections (Figure 1 and Figure 2) distributed over the nose, malar eminences, upper cutaneous lip, arms and thighs. A punch biopsy specimen was obtained from the right cheek (Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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Spiny Hyperkeratotic Projections on the Face and Extremities of a Kidney Transplant Recipient—Diagnosis
Arch Dermatol. 2006;142(12):1643-1648.
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