Correspondence |

Viral-Associated Trichodysplasia Spinulosa in a Renal Transplant Patient

Conrad L. Brimhall, MD; Janine C. Malone, MD
Arch Dermatol. 2012;148(7):863-864. doi:10.1001/archdermatol.2012.29.
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Correspondence: Dr Brimhall, Kentucky Dermatology and Skin Cancer Clinic, Voluntary Faculty, University of Kentucky, 177 Burt Rd, Lexington, KY 40503 (skinmd@windstream.net).

Financial Disclosure: None reported.

Additional Contributions: We are indebted to Ziad William Sara, MD, for his participation in the management and treatment of this patient.

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Figure 1. Hematoxylin-eosin–stained biopsy specimens. A, Hair follicle distended by excessive proliferation of nucleated eosinophilic inner root-sheath cells with trichohyalin granules (original magnification ×200). B, Keratotic spine formed of nucleated corneocytes (original magnification ×100).

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Figure 2. Clinical images of our patient. A, Multiple follicular papules on the cheeks prior to treatment. B, Substantial reduction of follicular papules after 7 weeks of treatment with valganciclovir, 900 mg twice a day.




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