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September 2006

Atypical Early Follicular Graft-vs-Host Disease

Arch Dermatol. 2006;142(9):1231-1244. doi:10.1001/archderm.142.9.1237-b

Follicular graft-vs-host disease (GVHD) was probably first reported in 1984.1 Clinically acute follicular GVHD was described as an eruption similar to a bacterial or fungal folliculitis following allogenic bone marrow transplantation (BMT).2 Cases of clinically acute and chronic follicular GVHD have been described.3-6 We report the unexpected finding of follicular lichenoid GVHD in a biopsy specimen from a nonspecific lesion that appeared on a patient on the 18th day after BMT.

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