Freemer et al1 recently described what they believed to be the first cases of lichenoid chronic graft-vs-host disease (GVHD) occurring in a dermatomal distribution. The authors were unaware of a similar case report by Beers et al,2 which is understandable because this particular article was published after the manuscript by Freemer and colleagues had been submitted for publication. We found both articles to be of particular interest because we, too, have recently seen a patient with the same condition.
Report of a Case.
This patient is a 38-year-old white man who was diagnosed with chronic myelogenous leukemia in November 1991. He underwent an allogeneic bone marrow transplant (BMT) with one antigen mismatch in May 1992. Approximately 3 weeks after the BMT, a macular and papular rash developed on his trunk, arms, and the upper aspect of his legs. A biopsy specimen of the rash was obtained and was
Wilson BB, Lockman DW. Linear Lichenoid Graft-vs-Host Disease. Arch Dermatol. 1994;130(9):1206-1207. doi:10.1001/archderm.1994.01690090140024