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Enlarging Skin Lesions in a Kidney–Pancreas Transplant Recipient 

Enlarging Skin Lesions in a Kidney–Pancreas Transplant Recipient
Enlarging Skin Lesions in a Kidney–Pancreas Transplant Recipient

Daniel Caplivski

and W. Michael Scheld

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date: 16 September 2021

Case 11e: A 53-year-old man with a history of a diabetes mellitus presented with a 5-month history of painless, progressively enlarging left knee and calf skin lesions. He had undergone a combined pancreas and kidney transplant 18 months prior to presentation, but his post-transplant course had been complicated by several bouts of acute rejection. The most recent episode occurred one month prior to the onset of his skin lesions, and was managed with high-dose intravenous corticosteroids, thymoglobulin, and intravenous immunoglobulin in addition to his maintenance immunosuppressive regimen of mycophenolic acid 900mg twice daily, tacrolimus 2 mg twice daily, and prednisone 50 mg daily.

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