Trichodysplasia spinulosa

A 62-year-old man with a history of hypertension, diabetes mellitus, and kidney transplant 6 months ago presented with facial lesions that gradually spread to the ears, back, and upper extremity. His immunosuppression included methylprednisone, tacrolimus, and mycophenolate mofetil. On examination, there were flesh-colored to hyperpigmented papules on face and ears with a spiculated appearance (Figure 1). The patient underwent biopsy of the...