Bullous pemphigoid after liver transplantation for liver failure

Nanda Kerkar, Steven Cohen, Christina Dugan, Raffaella A. Morotti, Robert G. Phelps, Betsy Herold, Benjamin Shneider, Sukru Emre

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Coomb's positive autoimmune hemolytic anemia with giant cell hepatitis (GCH) is a rare cause of liver failure and is usually associated with poor prognosis. A child with liver kidney microsomal (LKM) antibody positivity underwent successful liver transplantation for liver failure secondary to GCH with Coomb's positive hemolytic anemia. Autoimmune neutropenia developed ten months after transplant. Four months later, pemphigoid skin lesions developed. The diagnosis of bullous pemphigoid (BP) was made on the basis of skin biopsy, direct and indirect immunofluorescence test results. Treatment was with immunosuppressants - prednisone and azathioprine/rapamycin, with addition of dapsone when lesions persisted. This child is unique in that his liver function and hemolytic anemia appeared to normalize after liver transplant, but neutropenia and BP both thought to be autoimmune in etiology, developed more than a year post-transplant.

Original languageEnglish (US)
Pages (from-to)1705-1710
Number of pages6
JournalLiver Transplantation
Volume12
Issue number11
DOIs
StatePublished - Nov 1 2006

ASJC Scopus subject areas

  • Surgery
  • Hepatology
  • Transplantation

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