Acquired epidermodysplasia verruciformis in a renal transplant recipient\n- Case report
A 24-year-old male patient, student, presented for two years asymptomatic lesions in\nareas exposed to light, which increased progressively in number. He used oral and\ntopical antifungals without improvement. He had history of systemic lupus erythematosus\nfor 11 years and kidney transplant due to renal failure secondary to lupus nephritis for\nthe last 6 years and, for this reason, he is undergoing immunosuppressant treatment with\nsirolimus 1mg 2x/day, mycophenolate sodium 360mg/day and prednisone 10mg/day. There was\nno history of consanguinity and affected relatives. On examination, he had numerous\nerythematous papules and macules (pityriasis versicolor-like) on his face, neck,\nV-shaped neckline, forearms and abdomen (). Histologic examination of the skin biopsy from abdomen revealed vacuolated\ncells in the upper epidermis with a bubbly, bluish cytoplasm, thickened granular layer\nand mild perivascular infiltrate in the superficial dermis, consistent with EV ().