Title | Early-onset lichenoid graft-vs.-host disease: a unique variant of acute graft-vs.-host disease occurring in peripheral blood stem cell transplant recipients. |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Magro CM, Kerns MJo, Votava H, Vasil KE, Dyrsen ME, Morrison CD |
Journal | J Cutan Pathol |
Volume | 37 |
Issue | 5 |
Pagination | 549-58 |
Date Published | 2010 May |
ISSN | 1600-0560 |
Keywords | Acute Disease, Adult, Aged, Female, Graft vs Host Disease, Hematopoietic Stem Cell Transplantation, Humans, In Situ Hybridization, Fluorescence, Male, Middle Aged, Peripheral Blood Stem Cell Transplantation, Retrospective Studies, Skin Diseases |
Abstract | BACKGROUND: A complication of stem cell transplantation is chronic graft-vs.-host disease (GvHD), developing months to years after transplant; the two commonest manifestations are lichenoid GvHD and scleroderma. The purpose of this study was to characterize early-onset lichenoid GvHD. METHODS: A retrospective study identified patients diagnosed with early-onset lichenoid GvHD. This diagnosis was correlated with type of transplant and concurrent or prior episodes of acute GvHD. RESULTS: Patients in whom a sex mismatch was present between donor and recipient were included, representing a study population of 17. All received an allogeneic peripheral blood stem cell transplant (PBSCT). All patients had biopsy proven lichenoid GvHD within 60 days or less following transplantation. All had concurrent gastrointestinal symptoms which was biopsy proven GvHD in thirteen of the cases. FISH XY studies revealed that the infiltrating lymphocytes were of donor origin in 12 of the cases, mixed in three and of host origin in two cases. CONCLUSIONS: Early-onset lichenoid GvHD is exclusive to the PBSCT setting and appears to be mediated by donor lymphocytes, reflecting the higher numbers of donor T cells encountered in PBSCT. We consider this reaction pattern a distinctive subtype of acute GvHD. |
DOI | 10.1111/j.1600-0560.2009.01427.x |
Alternate Journal | J Cutan Pathol |
PubMed ID | 19843195 |
Related Faculty:
Cynthia M. Magro, M.D.