Understanding and treatment of cutaneous graft-versus-host-disease.
Junshik HongJohnathan FraebelYenny YangEric R TkaczykCarrie KitkoTae Kon KimPublished in: Bone marrow transplantation (2023)
The skin is the outermost mechanical barrier where dynamic immune reactions take place and is the most commonly affected site in both acute and chronic graft-versus-host disease (GVHD). If not properly treated, pain and pruritis resulting from cutaneous GVHD can increase the risk of secondary infection due to erosions, ulcerations, and damage of underlying tissues. Furthermore, resulting disfiguration can cause distress and significantly impact patients' quality of life. Thus, a deeper understanding of skin-specific findings of GVHD is needed. This review will highlight some promising results of recent pre-clinical studies on the pathophysiology of skin GVHD and summarize the diagnostic and staging/grading procedures according to the clinical manifestations of skin GVHD. In addition, we will summarize outcomes of various GVHD treatments, including skin-specific response rates.
Keyphrases
- allogeneic hematopoietic stem cell transplantation
- soft tissue
- wound healing
- end stage renal disease
- newly diagnosed
- chronic kidney disease
- chronic pain
- acute lymphoblastic leukemia
- lymph node
- gene expression
- pain management
- oxidative stress
- intensive care unit
- respiratory failure
- metabolic syndrome
- pet ct
- combination therapy
- postoperative pain