Trichophyton onychomycosis and deep dermatophytosis in a post‐heart transplant patient

Sriram, N.; Rutherford, Audrey; Hoz, Ricardo M. La; Thomas, Caroline Bedell

doi:10.1111/tid.13830

Cited by 2 publications

(2 citation statements)

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“…3 However, patients may experience a plethora of non-cancer-related dermatologic conditions that can cause significant medical and psychosocial morbidity, such as cutaneous infections, inflammatory conditions, and drug eruptions. [4][5][6] Beyond small series and case reports, non-malignant cutaneous conditions are not well studied in the pediatric heart transplant population.…”

Section: Introductionmentioning

confidence: 99%

“…Pediatric heart transplant patients are routinely followed in dermatology clinics for skin cancer surveillance exams due to their elevated risk of cutaneous malignancy 3 . However, patients may experience a plethora of non‐cancer‐related dermatologic conditions that can cause significant medical and psychosocial morbidity, such as cutaneous infections, inflammatory conditions, and drug eruptions 4–6 . Beyond small series and case reports, non‐malignant cutaneous conditions are not well studied in the pediatric heart transplant population.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and spectrum of infectious and inflammatory dermatologic conditions occurring in pediatric heart transplant patients on a predominantly mTOR‐based immune suppressive regimen: A retrospective chart review

Rydberg,

Ameduri,

Brown

et al. 2023

Pediatric Transplantation

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IntroductionPediatric heart transplant patients are routinely followed in dermatology clinics due to elevated risk of cutaneous malignancy. However, transplant patients may experience other, non‐cancer‐related dermatologic conditions including skin infections, inflammatory diseases, and drug eruptions that can cause significant medical and psychosocial comorbidity.MethodsA retrospective chart review of all pediatric heart transplant patients at Mayo Clinic Children's Center in Rochester, MN, was performed to determine the prevalence and spectrum of non‐cancer dermatologic conditions. Statistical analysis was conducted to look for associations between episodes of rejection and skin condition development.ResultsOf the 65 patients who received heart transplants under the age of 18 and were followed at Mayo Clinic, 69% (N = 45) were diagnosed with at least one skin condition between transplant and the time of most recent follow‐up. Sixty‐two percent (N = 40) of patients were diagnosed with an inflammatory skin condition (most commonly acne and atopic dermatitis), 45% (N = 29) with an infectious skin condition (most commonly warts and dermatophyte infection), and 32% (N = 21) with a drug eruption (most commonly unspecified rash and urticaria). No association was found between presence of skin disease and number of rejection episodes.ConclusionsNon‐cancer dermatologic conditions are prevalent within pediatric heart transplant recipients and may directly impact their medical needs and quality of life. Dermatologist involvement in the care of post‐transplant pediatric patients is important, not only for cancer screening but also for diagnosis and treatment of common infectious and inflammatory skin conditions.

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