Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de Chile

Background: Skin manifestations after liver transplantation are increasing due to long term immunosuppressive therapy along with an increase in patient survival. Several studies have reported dermatologic complications following renal transplant, but few have studied dermatologic problems after live...

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Autores principales: Daza,Francisca, Poniachik,Jaime, Zemelman,Viviana, Ibarra,José, Espinoza,Miguel, Castillo,Jaime, Cardemil,Gonzalo, Díaz,Juan Carlos, Saure,Alexandre, Lembach,Hans, Calderón,Perla
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2015
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500005
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spelling oai:scielo:S0034-988720150005000052018-10-31Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de ChileDaza,FranciscaPoniachik,JaimeZemelman,VivianaIbarra,JoséEspinoza,MiguelCastillo,JaimeCardemil,GonzaloDíaz,Juan CarlosSaure,AlexandreLembach,HansCalderón,Perla Chile Liver transplantation Skin Manifestations Background: Skin manifestations after liver transplantation are increasing due to long term immunosuppressive therapy along with an increase in patient survival. Several studies have reported dermatologic complications following renal transplant, but few have studied dermatologic problems after liver transplantation. Aims: To describe the different types of cutaneous lesions encountered in adults receiving a liver allograft. To evaluate the frequency of cutaneous manifestations of patients in the liver transplant waiting list. Material and Methods: Eighty patients submitted to a liver transplant and 70 patients in the liver transplant waiting list were evaluated with a complete dermatological physical examination. Results: Sixty one percent of patients with a liver allograft had at least one skin manifestation. Of these, 34% had superficial fungal infections, 31% had viral infections, 20% had cutaneous side effects due to immunosuppressive treatment, 10% had malignant lesions, 2% had bacterial infections and one patient had a graft versus host disease. Only 28% of patients in the liver transplant waiting list had dermatologic problems, and the vast majority were lesions linked to liver cirrhosis. Conclusions: Cutaneous infections were the most common skin problems in liver transplant patients. Although neoplastic lesions are the most commonly mentioned lesions in the literature, only a 10% of our liver transplant patients presented these type of lesions.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.5 20152015-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500005es10.4067/S0034-98872015000500005
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Chile
Liver transplantation
Skin Manifestations
spellingShingle Chile
Liver transplantation
Skin Manifestations
Daza,Francisca
Poniachik,Jaime
Zemelman,Viviana
Ibarra,José
Espinoza,Miguel
Castillo,Jaime
Cardemil,Gonzalo
Díaz,Juan Carlos
Saure,Alexandre
Lembach,Hans
Calderón,Perla
Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de Chile
description Background: Skin manifestations after liver transplantation are increasing due to long term immunosuppressive therapy along with an increase in patient survival. Several studies have reported dermatologic complications following renal transplant, but few have studied dermatologic problems after liver transplantation. Aims: To describe the different types of cutaneous lesions encountered in adults receiving a liver allograft. To evaluate the frequency of cutaneous manifestations of patients in the liver transplant waiting list. Material and Methods: Eighty patients submitted to a liver transplant and 70 patients in the liver transplant waiting list were evaluated with a complete dermatological physical examination. Results: Sixty one percent of patients with a liver allograft had at least one skin manifestation. Of these, 34% had superficial fungal infections, 31% had viral infections, 20% had cutaneous side effects due to immunosuppressive treatment, 10% had malignant lesions, 2% had bacterial infections and one patient had a graft versus host disease. Only 28% of patients in the liver transplant waiting list had dermatologic problems, and the vast majority were lesions linked to liver cirrhosis. Conclusions: Cutaneous infections were the most common skin problems in liver transplant patients. Although neoplastic lesions are the most commonly mentioned lesions in the literature, only a 10% of our liver transplant patients presented these type of lesions.
author Daza,Francisca
Poniachik,Jaime
Zemelman,Viviana
Ibarra,José
Espinoza,Miguel
Castillo,Jaime
Cardemil,Gonzalo
Díaz,Juan Carlos
Saure,Alexandre
Lembach,Hans
Calderón,Perla
author_facet Daza,Francisca
Poniachik,Jaime
Zemelman,Viviana
Ibarra,José
Espinoza,Miguel
Castillo,Jaime
Cardemil,Gonzalo
Díaz,Juan Carlos
Saure,Alexandre
Lembach,Hans
Calderón,Perla
author_sort Daza,Francisca
title Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de Chile
title_short Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de Chile
title_full Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de Chile
title_fullStr Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de Chile
title_full_unstemmed Manifestaciones cutáneas en adultos con trasplante hepático del Hospital Clínico de la Universidad de Chile
title_sort manifestaciones cutáneas en adultos con trasplante hepático del hospital clínico de la universidad de chile
publisher Sociedad Médica de Santiago
publishDate 2015
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500005
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