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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.36 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.