PMID- 8265771 OWN - NLM STAT- MEDLINE DCOM- 19940127 LR - 20041117 IS - 0033-5622 (Print) IS - 0033-5622 (Linking) VI - 86 IP - 11 DP - 1993 Nov TI - The role of skin biopsies in bone marrow transplant recipients. PG - 715-7 AB - Bone marrow transplant (BMT) recipients frequently develop rashes as a consequence of their disease, its treatment or because of a complication such as infection. These rashes are often clinically atypical, yet appropriate management is dependent upon correct diagnosis and therefore a skin biopsy is often performed. In a group of 101 consecutive BMT recipients, 25 patients had a total of 34 skin biopsies. A specific histopathological diagnosis was made in 65% (22/34), including graft vs. host disease (GVHD) (15 cases), infection (4 cases), drug reaction (1 case) and recurrent lymphoma (1 case). Therapy was changed following the biopsy in 77% (17/22) of these cases. In 35% (12/34) the histological changes were non-specific, however, in 10 of these cases GVHD had been suspected clinically and its exclusion was therefore useful. Skin biopsy is of considerable value in the diagnosis and subsequent management of BMT recipients who develop a rash. FAU - Hepburn, N C AU - Hepburn NC AD - Department of Dermatology, Royal Infirmary, Edinburgh, UK. FAU - McLaren, K M AU - McLaren KM FAU - Turner, M L AU - Turner ML FAU - Beveridge, G W AU - Beveridge GW LA - eng PT - Journal Article PL - England TA - Q J Med JT - The Quarterly journal of medicine JID - 0401027 SB - IM MH - Adolescent MH - Adult MH - Bone Marrow Transplantation/*adverse effects MH - Drug Hypersensitivity/pathology MH - Graft vs Host Disease/pathology MH - Humans MH - Middle Aged MH - Retrospective Studies MH - Skin/*pathology MH - Skin Diseases/*pathology MH - Skin Diseases, Infectious/pathology EDAT- 1993/11/01 00:00 MHDA- 1993/11/01 00:01 CRDT- 1993/11/01 00:00 PHST- 1993/11/01 00:00 [pubmed] PHST- 1993/11/01 00:01 [medline] PHST- 1993/11/01 00:00 [entrez] PST - ppublish SO - Q J Med. 1993 Nov;86(11):715-7.