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Jose A, Dad T, Strand A, Tse JY, Plotnikova N, Boucher HW, Sarnak MJ, Gilbert SJ, Goyal N. Trichodysplasia spinulosa: Case reports and review of literature. Transpl Infect Dis 2020; 22:e13342. [PMID: 32475005 DOI: 10.1111/tid.13342] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Accepted: 05/13/2020] [Indexed: 11/29/2022]
Abstract
Trichodysplasia spinulosa (TS) is a rare skin condition caused by trichodysplasia spinulosa-associated polyomavirus (TSPyV). It affects immunosuppressed patients, and <50 cases have been reported. The majority of these cases are seen in solid organ transplant recipients. TS often poses a diagnostic and therapeutic challenge because of its rarity and resemblance with other skin conditions. Several forms of treatment are usually tried prior to establishing a definitive diagnosis. Oral valganciclovir and topical cidofovir have been found to give the best results and hence are the most commonly used agents once the diagnosis is established. Here, we present two cases with a review of literature of TS in solid organ transplant recipients, focusing on time to develop the condition post-transplant, immunosuppression regimen used, and treatment initiated both before and after a definitive diagnosis.
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Affiliation(s)
- Aju Jose
- Division of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA
| | - Taimur Dad
- Division of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA
| | - Andrew Strand
- Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA
| | - Julie Y Tse
- Pathology and Laboratory Medicine, Tufts Medical Center, Boston, Massachusetts, USA
| | - Natalia Plotnikova
- Department of Dermatology, Tufts Medical Center, Boston, Massachusetts, USA
| | - Helen W Boucher
- Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA
| | - Mark J Sarnak
- Division of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA
| | - Scott J Gilbert
- Division of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA
| | - Nitender Goyal
- Division of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA
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