case_images: PMC5804719_01
case_images: Right thumb showing worsening cutaneous erythema and roughening of the eponychia.
case_images: ICRP_A_1431047_F0001_C.jpg
case_images: PMC5804719_01_ICRP_A_1431047_F0001_C.jpg
case_images: F0001
case_images: In February 2017, he was evaluated for worsening cutaneous erythema and roughening of the eponychia of the right thumb and index finger, most notable on the thumb (Figure 1).
case_images: Biopsy prepared with haematoxylin and eosin stain (20x magnification).
case_images: ICRP_A_1431047_F0002_C.jpg
case_images: PMC5804719_01_ICRP_A_1431047_F0002_C.jpg
case_images: F0002
case_images: Due to suspicion that the worsening eponychial inflammation may have been an early sign of recurrent rejection or that an ongoing underlying inflammatory process may have precipitated this rejection episode, a biopsy was performed (Figure 2).