Denuded bowel after recovery from graft-versus-host disease.

Abstract:

:Graft-versus-host disease (GVHD) is a common complication of bone marrow transplantation and often involves the gastrointestinal system. It is unclear whether there can be severe enough damage by GVHD to permanently injure the bowel and thereby prevent mucosal regeneration. We describe a patient who had successful treatment of GVHD, but who had such severe scarring of the bowel mucosa that the colonic epithelium could not regenerate even 50 days after biopsy-demonstrated resolution of GVHD. Surveillance cultures and histological analysis indicate that this denudation was not caused by infection or continued GVHD. This is an important observation with implications for monitoring response to GVHD therapy and using rectal biopsy to evaluate GVHD.

journal_name

Transplantation

journal_title

Transplantation

authors

Fox RJ,Vogelsang GB,Beschorner WE

doi

10.1097/00007890-199612150-00028

subject

Has Abstract

pub_date

1996-12-15 00:00:00

pages

1681-4

issue

11

eissn

0041-1337

issn

1534-6080

journal_volume

62

pub_type

杂志文章