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Sirolimus-induced acneiform eruption
N Kunzle1, J-P Venetz, M Pascual
1Department of Dermatology and Venerology, DHURDV, Lausanne, Switzerland.
Summary
Sirolimus can cause severe acneiform eruptions in kidney transplant patients. This skin condition often requires stopping sirolimus treatment for resolution.
Area of Science:
- Nephrology
- Dermatology
- Immunology
Background:
- Sirolimus is an immunosuppressant used in renal transplantation to avoid calcineurin inhibitors.
- Cutaneous side effects of sirolimus are not fully understood and may be underestimated.
Observation:
- Two cases of renal allograft recipients developed follicular acneiform eruptions.
- The dermatologic complication was severe and challenging to manage.
Findings:
- Sirolimus-induced acneiform eruptions are a significant adverse event.
- Discontinuation of sirolimus led to the resolution of the skin condition.
Implications:
- Clinicians should be aware of potential severe skin reactions to sirolimus.
- Monitoring for and managing dermatologic side effects is crucial in sirolimus-treated patients.
- Further research into sirolimus's cutaneous effects is warranted.