TLDR A kidney transplant patient developed pink skin bumps with spiny centers on her face and limbs.
A 48-year-old woman, who had undergone a kidney transplant 9 years earlier due to lupus-related nephropathy and renal failure, presented with a 6-month history of pink papules with central spiny projections on her face, arms, and legs. She was on immunosuppression therapy with tacrolimus and mycophenylate mofetil. Physical examination showed numerous 2- to 4-mm erythematous, pink papules with central spiny projections. A punch biopsy was taken from her right cheek for further analysis.
56 citations
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