Case Image
A 33-year-old female with relapsed acute myelocytic leukemia (AML)
underwent allogeneic stem cell transplantation and developed
graft-versus-host disease (GVHD) affecting the liver and a history of
varicella zoster (VZ) infection involving C2, C3, and C4 dermatomes that
was managed with intravenous acyclovir. She presented with pruritic,
hyper-pigmented papules over the VZ-healed site (Figure 1 ).
Wickham striae over the oral mucosa were observed. A 4-mm skin biopsy
showed lichenoid dermatitis with giant cells (Figure 2 ). The
patient was managed with topical clobetasol (0.05%) ointment twice
daily. At just one week’s follow-up examination, the lichenoid eruption
had improved significantly.