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Review
. 2016 May-Jun;91(3):336-43.
doi: 10.1590/abd1806-4841.20164180.

Cutaneous graft-versus-host disease after hematopoietic stem cell transplant - a review

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Review

Cutaneous graft-versus-host disease after hematopoietic stem cell transplant - a review

Cesar Daniel Villarreal Villarreal et al. An Bras Dermatol. 2016 May-Jun.

Abstract

Graft-versus-host disease (GVHD) is a major complication of allogeneic hematopoietic stem cell transplants (allo-HSCT) associated with significant morbidity and mortality. The earliest and most common manifestation is cutaneous graft-versus-host disease. This review focuses on the pathophysiology, clinical features, prevention and treatment of cutaneous graft-versus-host disease. We discuss various insights into the disease's mechanisms and the different treatments for acute and chronic skin graft-versus-host disease.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Histological aspects of cutaneous GVHD. Skin biopsy of cutaneous GVHD: hyperkeratosis, hypergranulosis associated with lichenoid inflammatory infiltrate is observed. (10X, HyE)
Figure 2
Figure 2
Histological aspects of cutaneous GVHD. Skin biopsy of cutaneous GVHD: Epidermal Basal cell apoptosis associated with melanin pigment deposits are present near the basement membrane zone. (40X, HyE)
Figure 3
Figure 3
Clinical manifestations of cutaneous GVHD. Patient with GVHD grade 3, maculopapular erythematous rash affecting the an terior portion of thorax and extremities
Figure 4
Figure 4
Clinical manifestations of cutaneous GVHD. Patient with GVHD grade 3, maculopapular erythematous rash affecting the posterior portion of thorax

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