The Turkish Journal of Pediatrics
2021 , Vol 63 , Num 6
A case of pediatric psoriasis achieving remission after allogenic bone marrow transplantation
1 Departments of Dermatology, Afyonkarahisar Health Sciences University Afyonkarahisar2 Departments of Pathology, Afyonkarahisar Health Sciences University Afyonkarahisar
3 Departments of Pediatric Hematology, Afyonkarahisar Health Sciences University Afyonkarahisar
4 Department of Pediatric Hematology, Gazi University Faculty of Medicine, Ankara, Turkey DOI : 10.24953/turkjped.2021.06.017 Background. Psoriasis is an inflammatory skin disease in which the cells and molecules of innate and adaptive immunity are involved in the pathogenesis. Aplastic anemia is a bone marrow deficiency syndrome that is characterized by an extreme reduction in the number of blood cells as a result of failure in hematopoiesis. Allogenic hematopoietic stem cell transplantation is a promising treatment for Aplastic Anemia and it is important to note that other comorbid diseases like psoriasis- since both have some common pathogenetic mechanisims- might achieve remission after treatment.
Case. We present a 12-years-old male patient who underwent bone marrow transplantation for aplastic anemia and his psoriasis vulgaris lesions completely regressed. The final follow-up visit on day 150 also revealed no sign of the pre-transplantation skin and scalp lesions.
Conclusions. This is the first case of pediatric psoriasis together with aplastic anemia that achieved complete remission of psoriasis after bone marrow transplantation. Our case report needs to be supported by prospective studies involving larger patient populations.
Keywords : aplastic anemia, autoimmune, bone marrow transplantation, pediatric, psoriasis