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Verrucous Nodules on the Toes of a Renal Transplant Recipient—Case
Alan L. Levy, MD;
Nathaniel Wilkin, MD;
Maureen B. Poh-Fitzpatrick, MD;
Ronnie D. Rasberry, MD
University of Tennessee Health Science Center, Memphis (Drs Levy, Wilkin, and Rasberry), and Columbia University Medical Center, New York, NY (Dr Poh-Fitzpatrick)
Arch Dermatol. 2007;143(5):653-658.
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REPORT OF A CASE
A 55-year-old African American man who had undergone an allogenic kidney transplant 1 year earlier presented with symmetrical, painless, verrucous nodules on the dorsum of the lower phalanges of both feet. He reported that the lesions had first appeared as "small bumps" that had steadily grown over the next few months into firm, rubbery nodules. His medical history included refractory hypertension, hypertensive nephropathy, hemodialysis, hyperlipidemia, peripheral vascular disease, and prior kidney transplant rejection. His medications included oral tacrolimus (6 mg twice daily), oral mycophenolate mofetil (500 mg twice daily), and oral prednisone (30 mg/d).
Physical examination revealed multiple firm, nontender, verrucous tumors and nodules on the proximal aspect of phalanges 1 through 5 of the right foot and phalanges 1, 2, and 5 of the left foot (Figure 1). Bacterial and fungal cultures . . . [Full Text of this Article]
RELATED ARTICLE
Verrucous Nodules on the Toes of a Renal Transplant Recipient—Diagnosis
Arch Dermatol. 2007;143(5):653-658.
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