دورية أكاديمية

Graft-vs-Host Disease After Liver Transplantation: A Diagnostic and Management Challenge

التفاصيل البيبلوغرافية
العنوان: Graft-vs-Host Disease After Liver Transplantation: A Diagnostic and Management Challenge
المؤلفون: Chin, Jerry Yung-Lun, Gong, Jiayi, Gane, Edward
المصدر: ACG Case Reports Journal ; volume 7, issue 12, page e00499 ; ISSN 2326-3253
بيانات النشر: Ovid Technologies (Wolters Kluwer Health)
سنة النشر: 2020
الوصف: A 65-year-old White man underwent deceased donor liver transplant for decompensated liver cirrhosis secondary to alpha-1-antitrypsin deficiency. He developed diarrhea and diffuse maculopapular rash 2 months post-transplant. Skin biopsy revealed necroinflammatory changes related to the superficial dermis. Pancytopenia ensued, complicated by neutropenic sepsis. Chimerism studies confirmed the presence of donor T-lymphocyte macrochimerism (63%). The patient was diagnosed with graft-vs-host disease. After extensive multidisciplinary collaboration, basiliximab was initiated. This resulted in complete symptom resolution and a gradual reduction in T-lymphocyte macrochimerism (12%). The patient was later transitioned to oral ruxolitinib and currently remains in stable condition 16 months after being diagnosed with graft-vs-host disease.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.14309/crj.0000000000000499
الإتاحة: https://doi.org/10.14309/crj.0000000000000499Test
حقوق: http://creativecommons.org/licenses/by-nc-nd/4.0Test/
رقم الانضمام: edsbas.B32E7D9D
قاعدة البيانات: BASE