Leflunomide for the Treatment of Trichodysplasia Spinulosa in a Liver Transplant Recipient

    March 2017 in “ Transplant Infectious Disease
    Rawan Kassar, Janis Chang, An‐Wen Chan, Leslie Lilly, Ayman Al Habeeb, Coleman Rotstein
    TLDR Leflunomide successfully treated a rare skin condition in a liver transplant patient.
    The document reported a case of trichodysplasia spinulosa (TS), a rare dermatologic condition linked to immunosuppressive therapy in solid organ transplant recipients, characterized by spiny follicular papules on various body parts. The condition is caused by the trichodysplasia spinulosa-associated polyomavirus. Traditional treatments included reducing immunosuppression, topical agents like cidofovir or retinoids, and oral valganciclovir. This case highlighted the successful treatment of generalized TS with leflunomide in a liver transplant recipient.
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