Chronic sclerodermic graft-versus-host disease refractory to immunosuppressive treatment responds to UVA(1) phototherapy

Grundmann-Kollmann, Marcella and Behrens, Stefanie and Gruss, Claus and Gottloeber, Petra and Peter, Ralf Uwe and Kerscher, Martina (2000) Chronic sclerodermic graft-versus-host disease refractory to immunosuppressive treatment responds to UVA(1) phototherapy. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 42 (1). pp. 134-136. ISSN 0190-9622

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Abstract

Graft-versus-host disease is a frequent complication of allogenic bone marrow transplantation. Approximately 10% of patients suffering from chronic graft-versus-host disease develop sclerodermic graft-versus-host disease of the skin, which often does not respond to conventional immunosuppressive therapy. An alternative to immunosuppressive treatment is photochemotherapy. We describe a patient with chronic sclerodermic graft-versus-host disease who did not respond to a combination therapy of cyclosporine and prednisone and later mycophenolate mofetil plus prednisone. A combination therapy of mycophenolate mofetil (2 g/day) and low-dose UVA(1) therapy (single dose, 20 J/cm(2), 4 times per week over 6 weeks) resulted in striking clinical improvement of sclerodermic graft-versus-host disease.

Item Type: Article
Uncontrolled Keywords: LOCALIZED SCLERODERMA; COLLAGENASE; FIBROBLASTS;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 08 Jun 2022 07:05
Last Modified: 08 Jun 2022 07:05
URI: https://pred.uni-regensburg.de/id/eprint/43024

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