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[皮肤移植物抗宿主病]

[Cutaneous graft-versus-host disease].

作者信息

Cho A, Just U, Knobler R

机构信息

Universitätsklinik für Dermatologie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.

出版信息

Hautarzt. 2018 Feb;69(2):109-115. doi: 10.1007/s00105-017-4112-3.

Abstract

BACKGROUND

Graft-versus-host disease (GvHD) is a complex multiorgan disease, which can occur as a complication following allogeneic stem cell transplantation. Involvement of the skin represents the most common appearance of GvHD. The role of the dermatologist is critical for diagnosis and initiation of treatment.

OBJECTIVES

The aim of this article is to provide a comprehensive review of the cutaneous types of GvHD and to present the most recent data on diverse therapy options for its acute and chronic form allowing the clinician to establish a definite diagnosis and to initiate proper therapy.

MATERIALS AND METHODS

Possible clinical appearances and recommended criteria to assist in making the right diagnosis are presented by means of expert recommendations.

RESULTS AND CONCLUSION

GvHD is still a complex entity whose diagnosis is often associated with challenges due to its variable presentation. Proper diagnosis and subsequent therapy is paramount for the optimal clinical outcome.

摘要

背景

移植物抗宿主病(GvHD)是一种复杂的多器官疾病,可作为异基因干细胞移植后的并发症出现。皮肤受累是GvHD最常见的表现形式。皮肤科医生在诊断和治疗启动方面的作用至关重要。

目的

本文旨在全面综述GvHD的皮肤类型,并介绍其急性和慢性形式的各种治疗选择的最新数据,使临床医生能够做出明确诊断并启动适当的治疗。

材料与方法

通过专家推荐展示可能的临床表现及有助于做出正确诊断的推荐标准。

结果与结论

GvHD仍然是一个复杂实体,因其表现多样往往给诊断带来挑战。正确诊断及后续治疗对于获得最佳临床结果至关重要。

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