TY - JOUR AU1 - Peck, Gary L. AU2 - Herzig, Geoffrey P. AU3 - Elias, Peter M. AB - Abstract Toxic epidermal necrolysis (TEN) occurred in a patient with graft-vs-host reaction (GVH). Certain factors link TEN and GVH in this patient. A 22-year-old man with acute lymphocytic leukemia, treated with allogeneic bone marrow transplantation, developed GVH as manifested by diarrhea, hepatitis, lymphopenia, and a progressive cutaneous eruption. The initial morbilliform eruption later became intensely erythematous, and massive desquamation of large sheets of epidermis, typical of TEN, ensued. Cutaneous histopathology early in the clinical course showed changes of GVH. Later biopsies were also consistent with the diagnosis of TEN. Experimental models of TEN accompanying GVH and a discussion of pathogenesis are included. Graft-vs-host reaction should be added to Lyell's group of systemic diseases associated with TEN. References 1. Lyell A: A review of T.E.N. in Britain . 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Richerson HB: In Clinical Pathologic Conference No. 498 . J Iowa Med Soc 58:1153-1165, 1968. 36. Jablonska S: Immunopathology of bullous diseases . Ann Clin Res 2:7-12, 1970. 37. Herbeuval R, Duheille J, Beurey J, et al: Specificite biologique des auto-anticorps, au cours des maladies bulleuses . Bull Soc Franc Derm Syph 76:589-591, 1969. 38. Thivolet J, Beyvin AJ, Leung TK, et al: Maladie de Duhring-Brocq et anticorps antimembrane-basale . Bull Soc Franc Derm Syph 75:639-643, 1968. TI - Toxic Epidermal Necrolysis in a Patient With Graft-vs-Host Reaction JF - Archives of Dermatology DO - 10.1001/archderm.1972.01620070033013 DA - 1972-04-01 UR - https://www.deepdyve.com/lp/american-medical-association/toxic-epidermal-necrolysis-in-a-patient-with-graft-vs-host-reaction-mVCl0aPx5O SP - 561 EP - 569 VL - 105 IS - 4 DP - DeepDyve ER -