graft-versus-host disease
graft-ver·sus-host disease
(grăft′vûr′səs-hōst′, -səz-)graft′-ver`sus-host′ disease`
n.
单词 | graft-versus-host disease |
释义 | graft-versus-host diseasegraft-ver·sus-host disease(grăft′vûr′səs-hōst′, -səz-)graft′-ver`sus-host′ disease`n. graft-versus-host diseasegraft-versus-host disease (reaction)(GVH disease)graft-versus-host disease(grăft′vûr′səs-hōst′, -səz-)graft-versus-host diseaseClinical immunology A reaction of donated BM against a Pt's own tissue, which is a major cause of M&M in allograft BMTs; GVHD is less significant in transplanted kidneys, heart, liver, and skin; viable donor T cells react immunologically against host Clinical Fever, morbiliform rash–central erythematous maculopapular eruption that may spread to the extremities with bulla formation, anorexia, N&V, severe watery or bloody diarrhea, lymphadenopathy, infections, hepatosplenomegaly, ↑ LFTs, jaundice, hemolytic anemia Prevention Irradiation of donated blood may prevent active leukocytes from rejecting recipient tissues Prophylaxis Cyclosporin, MTX, tacrolimus Treatment1⁄2 of Pts who develop post-BMT GVHD respond to high-dose steroids. See Bone marrow transplantation, Rapamycin, Tacrolimus, Transfusion-associated graft-versus-host disease.graft-ver·sus-host dis·ease(GVHD) (graft vĕr'sŭs hōst di-zēz')graft-versus-host diseaseA complication usually appearing two to three weeks after a bone marrow transplantation and caused by cytotoxic T cells in the donated marrow graft. These attack the host tissues causing liver inflammation (hepatitis) with obstruction to bile flow, diarrhoea and a severe scaling skin disease called exfoliative dermatitis. Drugs such as CYCLOSPORIN (ciclosporin) and high dose steroids must be used as the condition, once fully established, has a mortality of about 30%.graft-ver·sus-host dis·ease(GVHD) (graft vĕr'sŭs hōst di-zēz') |
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