Abstract
A 47-year-old female treated with an autologous bone marrow transplant and cytotoxic chemotherapy developed a lichen planus-like eruption 12 months later. It involved the skin and oral mucosa, with the histological features of a lichenoid graft-versus-host reaction, including satellite cell necrosis. This eruption developed de novo. The eruption resolved with topical betamethasone valerate 0.1% cream despite the ongoing use of the immunomodulatory agent interferon-alpha2b. Such a reaction in an autologous setting has only been described once previously.
MeSH terms
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Administration, Cutaneous
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Anti-Inflammatory Agents / administration & dosage
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Antineoplastic Agents / administration & dosage*
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Betamethasone Valerate / administration & dosage
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Bone Marrow Transplantation / adverse effects*
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Female
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Glucocorticoids
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Graft vs Host Reaction*
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Humans
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Injections, Subcutaneous
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Interferon alpha-2
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Interferon-alpha / administration & dosage*
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive / therapy*
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Lichen Planus / drug therapy
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Lichen Planus / etiology*
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Lichen Planus / pathology
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Middle Aged
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Recombinant Proteins
Substances
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Anti-Inflammatory Agents
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Antineoplastic Agents
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Glucocorticoids
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Interferon alpha-2
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Interferon-alpha
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Recombinant Proteins
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Betamethasone Valerate