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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Development Of Rashes After Lung Transplant Indicate Skin Cancer?

thank you for taking my question. my husband had IPF and had a single lung transplant over a year ago at Tampa Gen. I understand the many medications can cause a multitude of other health issues. About a week ago he developed a few sores with bloody crust on his face and a few little bump like things under his chin that look like a rash. We treated with antibiotic creams and tried a natural herbal antibiotic. While they don t appear to be getting worse they are not getting any better. we always thought when a suspicious site occurs and doesn t get better to obviously get it checked by a medical professional. My question is ... should we assume the worst case scenario skin cancer? Because one of his meds can cause skin cancer, or is it likely from, recently when they tweaked his meds?? With all he s been through, I am hoping your insight will lesson my worry. We have an dermatological appt in a week. perhaps we shud bump it up.... thank you for supporting my question.
Wed, 21 Jan 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
I don't think it is due to skin cancer.
Lung transplant needs immunosuppressive therapy to prevent transplant organ rejection.
These immunosuppressive drugs have a lot of side effects. And skin lesions are one of the common side effects of these drugs.
So this can be the cause for his skin lesions.
Another possibility is skin infection. Immunosuppressive drugs decrease overall immunity of patient. So patient is vulnerable for infections.
So clinical examination of skin lesion is necessary to conclude the diagnosis. Better to consult dermatologist. You may require skin biopsy too. But it is too early to say skin cancer.
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Could Development Of Rashes After Lung Transplant Indicate Skin Cancer?

Thanks for your question on HCM. I can understand your situation and problem. I don t think it is due to skin cancer. Lung transplant needs immunosuppressive therapy to prevent transplant organ rejection. These immunosuppressive drugs have a lot of side effects. And skin lesions are one of the common side effects of these drugs. So this can be the cause for his skin lesions. Another possibility is skin infection. Immunosuppressive drugs decrease overall immunity of patient. So patient is vulnerable for infections. So clinical examination of skin lesion is necessary to conclude the diagnosis. Better to consult dermatologist. You may require skin biopsy too. But it is too early to say skin cancer.