Dermatologic condition | Liver disease | Evolution after liver transplantation |
Acanthosis nigricans | Primary biliary cholangitis | Improvement. |
Alopecia areata | Autoimmune hepatitis | Frequently improvement in the 4 to 12 weeks following transplantation. Occasionally, new alopecia spots appear with immunosuppression. |
Pressure alopecia | Living donor | Reported in living donors[1,2]. |
Azure lunules (blue discoloration of the bases of the fingernails) | Wilson disease | Discoloration disappears as the metabolic defect is corrected. |
Lichen planus | Hepatitis C virus Primary biliary cholangitis | Improves after liver transplantation. Chronic graft-versus-host-disease and parakeratosis occurring after liver transplantation may have a lichenoid appearance. |
Livedo reticularis | Primary hyperoxaluria | Improvement; livedo reticularis can appear months after transplantation[3]. |
Panniculitis | Alpha-1 antitrypsin deficiency | Improvement; panniculitis has been reported to occur in a patient who acquired a PiZZ phenotype and resolve after transplantation[4]. |
Photosensitivity | Erythropoietic protoporphyria | Improvement, but it may take months or even years. Recurrence has been described[5]. Intraoperative protection from phototoxic injury with a filter omitting wavelengths below 470 nm is recommended during liver transplantation[6]. |
Vasculitis | Hepatitis C with cryoglobulinemia | May worsen after transplantation as the viremia increases. Antiviral therapy may be beneficial[7]. |
Raynaud phenomenon | Primary biliary cholangitis | Improvement. |
Vitiligo | Autoimmune hepatitis | Improvement; vitiligo occurring after transplantation due to the destruction of melanocytes by donor-derived immune reaction has been reported[8]. |
Xanthomas and xanthelasmas | Chronic cholestatic diseases, such as primary biliary cholangitis, Alagille syndrome, familial hypercholesterolemia | Improvement[9]. |
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