Author Affiliations: Division of Dermatology, David Geffen School of Medicine at the University of California, Los Angeles.
A 46-year-old man presented with white lesions on his face and body of 2 weeks' duration. The patient had received an autologous bone-marrow transplant 2 months previously for systemic scleroderma associated with advanced pulmonary fibrosis. Before the transplant, the patient gave a history of a “salt and pepper ” eruption on his forehead, typical of scleroderma. Shortly after the transplant, this eruption disappeared; the patient concurrently noted great improvement in his pulmonary function and skin tightening.
Worswick S, Pirouz A, Lee DJ. Depigmented Macules Following Autologous Bone-Marrow Transplant. Arch Dermatol. 2011;147(12):1460–1461. doi:10.1001/archderm.147.12.1460