A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption

Follicular hair unit extraction (FUE) is becoming a popular type of hair transplantation recently. Kaposi’s varicelliform eruption (KVE) is an uncommon skin emergency due to cutaneous dissemination of several types of viruses, most notably herpes virus, over the lesions of preexisting skin disorder...

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Autores principales:	A. Tulin Mansur, Gulsen T. Demirci, M. Adnan Uzunismail, Semsi Yıldız
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2016
Materias:	Kaposi's varicelliform eruption hair unit follicular hair unit extraction Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/d687fc92eedb4f109fc4e975bbbda773
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spelling	oai:doaj.org-article:d687fc92eedb4f109fc4e975bbbda7732021-11-17T08:31:21ZA rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption10.5826/dpc.0601a052160-9381https://doaj.org/article/d687fc92eedb4f109fc4e975bbbda7732016-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/43https://doaj.org/toc/2160-9381 Follicular hair unit extraction (FUE) is becoming a popular type of hair transplantation recently. Kaposi’s varicelliform eruption (KVE) is an uncommon skin emergency due to cutaneous dissemination of several types of viruses, most notably herpes virus, over the lesions of preexisting skin disorders. A 34-year-old man visited our plastic surgery outpatient clinic with a blistering, itchy and tender eruption on his head and body. He had undergone follicular FUE for androgenic alopecia 12 days previously, and 5 days after the procedure, umbilicated and/or hemorrhagic vesiculopustules appeared firstly on the occipital scalp skin where the hair units were taken. The lesions had rapidly spread over the upper chest and back. After the operation, he had taken oral methylprednisolone, amoxicillin clavulanate and had used fusidic acid ointment without any benefit. Bacterial culture of the pustules yielded no microorganism, while Tzanck smear from the vesicles revealed multinuclear giant cell groups. Based on a diagnosis of KVE, we treated the patient with oral valacyclovir hydrochloride 1000 mg 3 times a day for 14 days. Symptoms cleared rapidly, pustules and vesicles dried in a few days, and re-epithelialization of the eroded areas started at the end of the first week. The reported complications of FUE include necrosis of the donor site, postoperative hyperesthesia, recipient area folliculitis, keloids, bleeding, infection and pyogenic granuloma. Up to this date there are only three reports of KVE developing just after dermatological surgery, including dermabrasion, laser resurfacing, and skin grafting. According to our knowledge, this is the first case of KVE occurring after the FUE procedure. We think that the traumatic effects and skin barrier disruption due to operation and immune alteration due to postsurgical steroid treatment might have precipitated the activation and dissemination of latent herpesvirus infection. A. Tulin MansurGulsen T. DemirciM. Adnan UzunismailSemsi YıldızMattioli1885articleKaposi's varicelliform eruptionhair unitfollicular hair unit extractionDermatologyRL1-803ENDermatology Practical & Conceptual (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Kaposi's varicelliform eruption hair unit follicular hair unit extraction Dermatology RL1-803
spellingShingle	Kaposi's varicelliform eruption hair unit follicular hair unit extraction Dermatology RL1-803 A. Tulin Mansur Gulsen T. Demirci M. Adnan Uzunismail Semsi Yıldız A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption
description	Follicular hair unit extraction (FUE) is becoming a popular type of hair transplantation recently. Kaposi’s varicelliform eruption (KVE) is an uncommon skin emergency due to cutaneous dissemination of several types of viruses, most notably herpes virus, over the lesions of preexisting skin disorders. A 34-year-old man visited our plastic surgery outpatient clinic with a blistering, itchy and tender eruption on his head and body. He had undergone follicular FUE for androgenic alopecia 12 days previously, and 5 days after the procedure, umbilicated and/or hemorrhagic vesiculopustules appeared firstly on the occipital scalp skin where the hair units were taken. The lesions had rapidly spread over the upper chest and back. After the operation, he had taken oral methylprednisolone, amoxicillin clavulanate and had used fusidic acid ointment without any benefit. Bacterial culture of the pustules yielded no microorganism, while Tzanck smear from the vesicles revealed multinuclear giant cell groups. Based on a diagnosis of KVE, we treated the patient with oral valacyclovir hydrochloride 1000 mg 3 times a day for 14 days. Symptoms cleared rapidly, pustules and vesicles dried in a few days, and re-epithelialization of the eroded areas started at the end of the first week. The reported complications of FUE include necrosis of the donor site, postoperative hyperesthesia, recipient area folliculitis, keloids, bleeding, infection and pyogenic granuloma. Up to this date there are only three reports of KVE developing just after dermatological surgery, including dermabrasion, laser resurfacing, and skin grafting. According to our knowledge, this is the first case of KVE occurring after the FUE procedure. We think that the traumatic effects and skin barrier disruption due to operation and immune alteration due to postsurgical steroid treatment might have precipitated the activation and dissemination of latent herpesvirus infection.
format	article
author	A. Tulin Mansur Gulsen T. Demirci M. Adnan Uzunismail Semsi Yıldız
author_facet	A. Tulin Mansur Gulsen T. Demirci M. Adnan Uzunismail Semsi Yıldız
author_sort	A. Tulin Mansur
title	A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption
title_short	A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption
title_full	A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption
title_fullStr	A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption
title_full_unstemmed	A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption
title_sort	rare complication of follicular hair unit extraction: kaposi’s varicelliform eruption
publisher	Mattioli1885
publishDate	2016
url	https://doaj.org/article/d687fc92eedb4f109fc4e975bbbda773
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A rare complication of follicular hair unit extraction: Kaposi’s varicelliform eruption

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