Photodynamic therapy for the treatment of trichodysplasia spinulosa in an Asian renal transplant recipient: A case report and review of literature

Current treatments and emerging therapies of human polyomavirus‐associated skin diseases: a comprehensive review

“…The study did not distinguish if this resolution could have been due to normal healing over time or due to the change in IS treatment directly 80 . Liew et al 81 . provided the only case report that mentioned tapering of tacrolimus treatment and switching MMF treatment to mycophenolic acid to be unsuccessful.…”

“…The study did not distinguish if this resolution could have been due to normal healing over time or due to the change in IS treatment directly. 80 Liew et al 81 provided the only case report that mentioned tapering of tacrolimus treatment and switching MMF treatment to mycophenolic acid to be unsuccessful. Based on the evidence presented by several recent case studies, IS reduction in combination with other treatments are the preferred methodology.…”

Dermatoscopy case of the month: Trichodysplasia spinulosa

“…The most specific dermatoscopic clue for distinguishing TS from other hyperkeratotic follicular disorders is the presence of bright white spicules that protrude peripherally from follicular openings. 1 , 3 In contrast to the dark, confined keratin plugging seen in other hyperkeratotic disorders, it is both the stark whiteness of the spicules and their considerable length that are characteristic of TS. 1 , 3 TS in patients with skin of color may also present with perifollicular hyperpigmentation with a central white or pink circle.…”

“… 1 , 3 In contrast to the dark, confined keratin plugging seen in other hyperkeratotic disorders, it is both the stark whiteness of the spicules and their considerable length that are characteristic of TS. 1 , 3 TS in patients with skin of color may also present with perifollicular hyperpigmentation with a central white or pink circle. Treatment options include reduction of immunosuppression, topical cidofovir, or systemic valganciclovir, among other regimens.…”

Trichodysplasia spinulosa: a presentation of polyomavirus infection in immunosuppressed patients

“…To date, approximately 60 cases of TS have been described in the literature [1]. Trichodysplasia spinulosa presents characteristically with a folliculocentric papular eruption with keratin spine formation, most frequently on the face [5,6]. Owing to its rarity, this condition is often misdiagnosed and there is a lack of evidence to support any gold standard treatment.…”