Online Images in the Medical Sciences| Volume 365, ISSUE 1, e4-e5, January 2023

Keratinocyte cancers in a renal transplant recipient

Published:August 11, 2022DOI:
      A 77-year-old man presented to our dermatology clinic with a gradually progressing lesion on his scalp and a horny protuberance on his left cheek of 3 years and 7 months duration, respectively. He had undergone renal transplantation for hypertensive nephropathy-related end stage renal disease 24 years ago and was receiving daily oral cyclosporine, mycophenolate mofetil and prednisolone. Azathioprine, which was part of the initial immunosuppressive regimen was substituted by mycophenolate mofetil 10 years ago. He was taking allopurinol, rosuvastatin and dutasteride for gout, hyperlipidemia and benign prostatic hyperplasia, correspondingly. Other regular medications included lisinopril, bisoprolol, rivaroxaban and erythropoietin.
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        • Euvrard S
        • Kanitakis J
        • Claudy A.
        Skin cancers after organ transplantation.
        N Engl J Med. 2003; 348: 1681-1691
        • Wu X
        • Nguyen BC
        • Dziunycz P
        • et al.
        Opposing roles for calcineurin and ATF3 in squamous skin cancer.
        Nature. 2010; 465: 368-372
        • O'Reilly Zwald F
        • Brown M.
        Skin cancer in solid organ transplant recipients: advances in therapy and management: part II. Management of skin cancer in solid organ transplant recipients.
        J Am Acad Dermatol. 2011; 65: 263-279