Cutaneous chronic graft versus host disease (cGVHD) is caused by donor T-cells attacking recipient antigens, leading to various skin conditions that often mimic scleroderma and morphea, characterized by inflammation and fibrosis.
The case report describes a unique instance of cGVHD with ulcerative skin lesions in a 61-year-old man who had undergone liver transplantation and was on immunosuppressive therapy.
This case is notable for its atypical presentation, as literature shows no similar morphea-like or scleroderma-like cGVHD cases with ulcerations post-liver transplantation, highlighting the need for more awareness and exploration of such presentations.