Dermatological Disorders following Liver Transplantation: An Update

Table 1

Preexisting dermatological conditions after liver transplant.

Preexisting Dermatological Conditions	Underlying Disease	Conditions After liver transplant
Atopic dermatitis and Psoriasis	May not be associated with liver disease.	It improves after liver transplant. However, rapid tapering in doses of immunosuppressant like prednisolone may intensify the dermatological disorders.
Livedo reticularis	Primary hyperoxaluria	It improves after liver transplant.
Panniculitis	Alpha-1 antitrypsin deficiency	It improves after liver transplant.
Photosensitivity	Erythropoietic protoporphyria	It improves after liver transplant, but it may take long time.
Vasculitis	Hepatitis C with cryoglobulinemia	It may worsen after transplant as the viremia increases.
Raynaud phenomenon	Primary biliary cholangitis	It improves after liver transplant.
Vitiligo and Alopecia areata	Autoimmune hepatitis	It improves after liver transplant. Alopecia areata improves in the 4 to 12 weeks after liver transplant. However, vitiligo can occur after liver transplant.
Xanthomas and Xanthelasmas	Chronic cholestatic diseases	It improves after liver transplant.
Acanthosis nigricans	Primary biliary cholangitis	It improves after liver transplant.
Dupuytren's contractures	Liver cirrhosis	Irreversible.
Azure lunules	Wilson disease	It disappears after liver transplant.
Cryoglobulinemia, Porphyria cutanea tarda, Leukocytoclastic Vasculitis, and Lichen planus	Hepatitis C virus; Primary biliary cholangitis	It improves after liver transplant.
Kayser-Fleischer rings	Wilson’s disease	It improves after liver transplant.