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Nephrogenic fibrosing dermopathy in a renal transplant recipient with tubulointerstitial nephritis and uveitis |
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Published in | Dermatology. 2004, vol. 209, no. 1, p. 50-2 | |
Abstract | We report a patient with nephrogenic fibrosing dermopathy. He had chronic renal failure with arthritis, uveitis and histologically severe tubulointerstitial nephritis for which he received a renal transplant from a family relative. After an episode of acute renal failure with the transplant he developed painful, erythematous, firm papules and plaques with geographic borders on the legs, anterior thorax and elbow. A skin biopsy revealed increased fibroblast and collagen fiber content of the dermis and subcutaneous septae. Mucin deposition, sparse smooth-muscle-actin-positive cells and an increased number of CD34-positive cells in the deep dermis were found. After several weeks of hemodialysis, the lesions changed from an inflammatory to a purely sclerotic phase. The fibrocyte, a recently described circulating cell type, that is deposited in scar tissue may be involved in the pathogenesis of this novel pseudosclerodermatous skin disorder. | |
Keywords | Diagnosis, Differential — Elbow — Fibrosis/complications/diagnosis/pathology — Humans — Kidney Transplantation — Leg — Male — Middle Aged — Nephritis, Interstitial/complications — Skin Diseases/complications/diagnosis/pathology — Thorax — Uveitis/complications | |
Identifiers | DOI: 10.1159/000078587 PMID: 15237268 | |
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Research group | La matrice extracellulaire (651) | |
Citation (ISO format) | HAUSER, Conrad, KAYA, Guerkan, CHIZZOLINI, Carlo. Nephrogenic fibrosing dermopathy in a renal transplant recipient with tubulointerstitial nephritis and uveitis. In: Dermatology, 2004, vol. 209, n° 1, p. 50-2. doi: 10.1159/000078587 https://archive-ouverte.unige.ch/unige:44629 |