Non-infectious diffuse vesiculobullous rash in a pancreas and renal transplant recipient

Abstract

Solid organ transplant patients are well established to be at risk of herpes simplex virus and varicella zoster virus infection and reactivation. We present a case of a 41-year-old woman with a history of pancreas and renal transplant who presented with what appeared to be disseminated herpes simplex virus or varicella zoster virus induced rash, but who was ultimately diagnosed and treated as linear IgA bullous dermatosis. This case alerts physicians to other non-infectious dermatoses as a cause of vesiculobullous rash in solid organ transplant patients.

Keywords: dermatitis herpetiformis; disseminated HSV/VZV mimic; linear IgA bullous dermatosis; solid organ transplant.