Dermoscopic Follow-Up of the Skin towards Acute Graft-versus-Host-Disease in Patients after Allogeneic Hematopoietic Stem Cell Transplantation

Figure 2

Case  4. A 20-year-old female patient developed aGVHD, stage 2° gut, on the 27th day after alloHSCT. Clinically no symptoms of skin aGVHD were found; however, dermoscopic follow-up revealed the following changes in the face compared to baseline images (a): marked reddish background with multiple telangiectasias (b), which periodically became less or more visible (c, d). Dermoscopic follow-up of the remaining skin locations, other than the face, showed no dermoscopic abnormalities suggesting an inflammatory skin condition in the course of potential aGVHD, for example, skin of décolleté on the specific days of monitoring [−15 (e), +49 (f), +74 (g), and +95 (h)].

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