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Grover's Disease after Heart Transplantation: A Case Report
Giovanbattista Ippoliti1, Marco Paulli, Marco Lucioni
1Division of Cardiac Surgery, IRCCS San Matteo Hospital Foundation, University of Pavia School of Medicine, 27100 Pavia, Italy ; U.O. Medicina Interna, Policlinico di Monza, Monza, Italy.
Insights
Grover's disease, a transient skin condition, can occur after heart transplantation. This case report details the first known instance of this association, highlighting a potential link between cardiac transplants and this dermatosis.
Area of Science:
- Dermatology
- Transplant Surgery
Background:
- Grover's disease (transient acantholytic dermatosis) presents as a papular eruption, typically on the chest and abdomen.
- It is histologically defined by acantholysis and linked to various conditions like malignancies, renal failure, HIV, and transplants.
- Disease course can be complicated by spontaneous remission and fluctuations.
Purpose of the Study:
- To report the first documented case of Grover's disease following heart transplantation.
- To investigate the potential association between cardiac transplantation and the onset of Grover's disease.
Main Methods:
- Case report of a patient who developed Grover's disease post-heart transplant.
- Clinical and histological evaluation of the dermatosis.
Main Results:
- Sudden onset of Grover's disease observed in a patient after heart transplantation.
- This represents the first reported case of this specific post-transplant complication.
Conclusions:
- Heart transplantation may be a potential trigger for Grover's disease.
- Further research is warranted to understand the relationship between cardiac transplants and transient acantholytic dermatosis.
Abstract:
Grover's disease is a transient acantholytic dermatosis of unknown cause, manifesting clinically as a papular skin eruption that is usually located on the anterior chest and abdomen. Histologically characterized by an acantholytic pattern, it has been associated with numerous disorders, including hematologic malignancies, chronic renal failure, and HIV infection, as well as with chemotherapy and bone marrow and/or kidney transplant. Evaluation of followup and treatment is often complicated by spontaneous remission and the occasionally fluctuant course of the disease. Here we report the case of a patient with sudden onset of Grover's disease after heart transplantation. To the best of our knowledge, this is the first observation of Grover's disease as diagnosed after heart transplantation.
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