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Diagnosis and Treatment of Skin Lesions in Renal Transplant Recipients: A Retrospective Review.

Authors :
Ge Y
Saad M
Nemani S
Shi Y
Lineaweaver WC
Yang Y
Source :
Annals of plastic surgery [Ann Plast Surg] 2024 Aug 01; Vol. 93 (2S Suppl 1), pp. S51-S54.
Publication Year :
2024

Abstract

Background: Immunosuppressive therapy is essential for to prevent graft rejection in renal transplant patients; however, it is associated with elevating the risk of several pathologies in these patients particularly infectious and neoplastic conditions. In this study, we explore the diagnosis and treatment of skin lesions in renal transplant patients.<br />Methods: A retrospective chart review of 12 renal transplant recipients referred to plastic and reconstructive surgery with skin lesions from 2000 to 2020 was performed.<br />Results: The mean age of the 12 patients was 49.6 years. Time to plastic surgery after renal transplantation ranged between 1 and 16 years. Nine cases of basal cell carcinoma, 2 cases of squamous cell carcinoma, and 1 case of skin and soft tissue infection of the lower extremity and cutaneous extranodal NK/T-cell lymphoma, nasal type was observed. Flaps, skin grafts, and artificial dermis grafts constitute the main reconstructive methods. There were no postoperative infections or wound dehiscence.<br />Conclusions: Cutaneous infections and skin malignancy account for most of the skin lesions developing after renal transplantation. Posttransplant lymphoproliferative disorder warrants equal attention and should not be disregarded. Early diagnosis and treatment significantly improve prognosis as patients with longer duration of transplant were found to have more aggressive tumors. Plastic and reconstructive surgery offers a safe therapeutic method of treatment in these cases.<br />Competing Interests: Conflicts of interest and sources of funding: none declared.<br /> (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Details

Language :
English
ISSN :
1536-3708
Volume :
93
Issue :
2S Suppl 1
Database :
MEDLINE
Journal :
Annals of plastic surgery
Publication Type :
Academic Journal
Accession number :
39101849
Full Text :
https://doi.org/10.1097/SAP.0000000000003930