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New diagnosis of bullous pemphigoid after withdrawal of immunosuppressive therapy in a failed renal transplant recipient on hemodialysis.

Sohail Abdul SalimLitty ThomasAmanda QuorlesSeyed Mehrdad HamrahianTibor Fülöp
Published in: Hemodialysis international. International Symposium on Home Hemodialysis (2017)
The occurrence of the autoimmune blistering disease, bullous pemphigoid (BP), in patients with failed renal allograft is rare and the few reported cases suggest various provocative factors without reaching a consensus. Here we report the case of a patient presenting with bullous lesions soon after the complete discontinuation of immunosuppressant therapy following renal allograft failure. Skin biopsy confirmed the diagnosis of BP. Administration of systemic corticosteroid controlled the occurrence of BP lesions in our patient. Increased clinical suspicion is warranted in cases of patients with renal transplant failure, since withdrawal of the immunosuppressant therapy could lead to unmasking the underlying autoimmune skin disease.
Keyphrases
  • case report
  • risk assessment
  • multiple sclerosis
  • chronic kidney disease
  • stem cells
  • drug induced
  • soft tissue
  • peritoneal dialysis
  • end stage renal disease
  • bone marrow
  • mesenchymal stem cells
  • replacement therapy