Graft-versus-Host Disease (GvHD) - an update. Part 2: Prognosis and therapy of GvHD

Travnik, R. and Beckers, M. and Wolff, D. and Holler, E. and Landthaler, M. and Karrer, Sigrid (2011) Graft-versus-Host Disease (GvHD) - an update. Part 2: Prognosis and therapy of GvHD. HAUTARZT, 62 (3). pp. 229-237. ISSN 0017-8470, 1432-1173

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Abstract

Graft-versus-host disease (GvHD) remains one of the major complications after allogeneic stem cell transplantation (SCT) and is responsible for morbidity, mortality and decrease in quality of life of patients after SCT. The most important preventive approach is the selection of a donor with best possible HLA compatibility between donor and recipient. Basic prophylaxis of acute GvHD begins already prior to transplantation and usually consists of cyclosporine with or without methotrexate. In the past few years, many new therapies have been introduced for the treatment of acute and chronic GvHD. Extracorporeal photopheresis (ECP), for example, represents a promising treatment option for acute and chronic GvHD with very few side effects. For chronic GvHD mTOR inhibitors (sirolimus, everolimus) may replace calcineurin-inhibitors with the advantage of not inducing malignant skin tumors. Guidelines are available ort he management of acute and chronic GvHD. While pathophysiology, classification and skin manifestations of GvHD have been already presented in the first part of this article, this second part covers the prognosis, prevention and treatment of GvHD.

Item Type: Article
Uncontrolled Keywords: HEMATOPOIETIC-CELL TRANSPLANTATION; EXTRACORPOREAL PHOTOPHERESIS; CANCERS; Stem cell transplantation; Acute GvHD; Chronic GvHD; Extracorporeal photopheresis; mTOR inhibitors
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 24 Jun 2020 09:40
Last Modified: 24 Jun 2020 09:40
URI: https://pred.uni-regensburg.de/id/eprint/21179

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