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Moraveji S, Pedersen MR, Chandramouli S, et al. More Than a Rash: Recurrent Hepatocellular Carcinoma After Liver Transplantation. ACG Case Rep J. 2019;6(7):e00107doi: 10.14309/crj.0000000000000107.
Moraveji, S., Pedersen, M. R., Chandramouli, S., Kerr, T. A., & Grant, L. M. (2019). More Than a Rash: Recurrent Hepatocellular Carcinoma After Liver Transplantation. ACG case reports journal, 6(7), e00107. https://doi.org/10.14309/crj.0000000000000107
Moraveji, Sharareh, et al. "More Than a Rash: Recurrent Hepatocellular Carcinoma After Liver Transplantation." ACG case reports journal vol. 6,7 (2019): e00107. doi: https://doi.org/10.14309/crj.0000000000000107
Moraveji S, Pedersen MR, Chandramouli S, Kerr TA, Grant LM. More Than a Rash: Recurrent Hepatocellular Carcinoma After Liver Transplantation. ACG Case Rep J. 2019 Jul 10;6(7):e00107. doi: 10.14309/crj.0000000000000107. eCollection 2019 Jul. PMID: 31620514; PMCID: PMC6722360.
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ACG Case Rep J. 2019 Jul 10;6(7):e00107. doi: 10.14309/crj.0000000000000107. eCollection 2019 Jul.

More Than a Rash: Recurrent Hepatocellular Carcinoma After Liver Transplantation.

ACG case reports journal

Sharareh Moraveji, Mark R Pedersen, Shruti Chandramouli, Thomas A Kerr, Lafaine M Grant

Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, Texas Tech University Health Sciences Center University, El Paso, TX.
  2. Division of Gastroenterology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
  3. Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX.

PMID: 31620514 PMCID: PMC6722360 DOI: 10.14309/crj.0000000000000107

Abstract

Recurrent hepatocellular carcinoma (HCC) after liver transplant is uncommon in patients who have favorable pretransplant characteristics. We present a 56-year-old man with a history of liver transplant 8 weeks prior for hepatitis C cirrhosis and HCC who presented for shortness of breath. He was found to have a microangiopathic hemolytic anemia and an erythematous, nodular skin rash on his left lower abdomen. Biopsy of the skin rash would demonstrate metastatic HCC, determined to be the cause of hemolysis as well. Recurrent malignancy should be considered in patients with a history of HCC who present with new, unexplained skin nodules.

© 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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