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Correspondence |

Bilateral Areolar Lesions in a Patient With Acute Cutaneous Graft-vs-Host Disease

Lisa N. Brunengraber, MD; Maria Turner, MD; Chyi-Chia Richard Lee, MD, PhD; Pamela Stratton, MD
Arch Dermatol. 2011;147(4):509-511. doi:10.1001/archdermatol.2011.75.
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Johnson  MLFarmer  ER Graft-versus-host reactions in dermatology. J Am Acad Dermatol 1998;38 (3) 369- 3969520019
Link to Article[[XSLOpenURL/10.1016/S0190-9622(98)70495-5]]
Häusermann  PWalter  RBHalter  J  et al.  Cutaneous graft-versus-host disease: a guide for the dermatologist. Dermatology 2008;216 (4) 287- 30418230976
Link to Article[[XSLOpenURL/10.1159/000113941]]
Hymes  SRTurner  MLChamplin  RECouriel  DR Cutaneous manifestations of chronic graft-versus-host disease. Biol Blood Marrow Transplant 2006;12 (11) 1101- 111317085303
Link to Article[[XSLOpenURL/10.1016/j.bbmt.2006.08.043]]
Aractingi  SChosidow  O Cutaneous graft-versus-host disease. Arch Dermatol 1998;134 (5) 602- 6129606330
Link to Article[[XSLOpenURL/10.1001/archderm.134.5.602]]
Mehregan  DRHamzavi  FBrown  K Large cell acanthoma. Int J Dermatol 2003;42 (1) 36- 3912581141
Link to Article[[XSLOpenURL/10.1046/j.1365-4362.2003.01587.x]]
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Link to Article[[XSLOpenURL/10.1067/mjd.2000.109303]]
Drake  ALWalling  HW Variations in presentation of squamous cell carcinoma in situ (Bowen's disease) in immunocompromised patients. J Am Acad Dermatol 2008;59 (1) 68- 7118440666
Link to Article[[XSLOpenURL/10.1016/j.jaad.2008.03.028]]
Sanli  HEkmekci  PKusak  FArat  MBeksaç  M Hyperkeratosis of the nipple associated with chronic graft versus host disease after allogeneic haematopoietic cell transplantation. Acta Derm Venereol 2003;83 (5) 385- 38614609115
Link to Article[[XSLOpenURL/10.1080/00015550310012665]]
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Figure 1.

Right (A) and left (B) areolas and a hematoxylin-eosin–stained left areolar biopsy specimen at original magnifications ×200 (C) and ×400 (D) showing broad acanthosis. Keratinocytes throughout the lesion's full thickness show large round nuclei and occasional scattered dyskeratotic and necrotic keratinocytes (arrows) in the epidermis.

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Figure 2.

Right areola on day 94 after allogeneic hematopoietic stem-cell transplant following 5 weeks of triamcinolone application.

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