Conversion to sirolimus: a useful strategy for recalcitrant cutaneous viral warts in liver transplant recipient.
Liver Transpl
; 12(12): 1883-7, 2006 Dec.
Article
in En
| MEDLINE
| ID: mdl-17133572
ABSTRACT
Dermatological complications following transplantation are very common and the majority of immunosuppressed transplant recipients develop some to many warts due to human papillomavirus (HPV) infection. In the setting of immunosuppression, therapeutic management may be disappointing because of the extent of the lesions in patients unable to develop a sufficient immune response directed against HPV. We report here a case of a young liver transplant recipient who developed diffuse recalcitrant HPV-induced warts leading to an impairment of her quality of life. Taking into account the antiproliferative and cytostatic properties of the target-of-rapamycin (TOR) inhibitors, a new class of immunosuppressive drug, we significantly modified the immunosuppressive regimen. Conversion to sirolimus was followed by a rapid improvement of cutaneous state suggesting that this strategy may be useful for recalcitrant cutaneous viral warts in transplant recipient.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Warts
/
Liver Transplantation
/
Skin Diseases, Viral
/
Sirolimus
/
Papillomavirus Infections
/
Immunosuppressive Agents
Aspects:
Patient_preference
Limits:
Adolescent
/
Female
/
Humans
Language:
En
Journal:
Liver Transpl
Journal subject:
GASTROENTEROLOGIA
/
TRANSPLANTE
Year:
2006
Document type:
Article
Affiliation country:
France