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[儿童及年轻成人患者移植物抗宿主病的皮肤表现]

[Cutaneous manifestations of graft versus host disease in a population of pediatric and young adults patients].

作者信息

Martino Cecilia, Calvano Roberta, Boggio Paula, Scacchi María F, Sojo Magdalena, Carbajosa Ana, Makiya Mónica, Giachetti Ana

机构信息

Sección Dermatología Infantil, Departamento de Pediatría, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Sección de Hematooncología Pediátrica, Departamento de Pediatría, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2020 Oct;118(5):e468-e475. doi: 10.5546/aap.2020.e468.

Abstract

Bone marrow transplant is a potentially curative therapy for several diseases, and allogeneic bone marrow transplant is the most commonly indicated type for leukemias. Graft versus host disease (GVHD) is the main complication of allogeneic bone marrow transplant. In both acute and chronic GVHD, the skin is the most frequently involved organ. The objective of this study was to analyze cutaneous manifestations of this disease. Retrospective and descriptive study that included 59 transplanted patients aged 0 to 20 years. In 50 cases allogeneic bone marrow transplant was performed. Twenty-five patients developed GVHD (17 acute disease and 8 chronic disease) and 24 of them had cutaneous involvement. According to the literature, skin compromise was the commonest clinical manifestation of GVHD. Main finding in acute GVHD in our series was the erythematous maculopapular rash, while in chronic GVHD they were sclerotic lesions resembling morphea.

摘要

骨髓移植是几种疾病的一种潜在治愈性疗法,而异基因骨髓移植是白血病最常用的类型。移植物抗宿主病(GVHD)是异基因骨髓移植的主要并发症。在急性和慢性GVHD中,皮肤是最常受累的器官。本研究的目的是分析该疾病的皮肤表现。这是一项回顾性描述性研究,纳入了59例年龄在0至20岁的移植患者。其中50例进行了异基因骨髓移植。25例患者发生了GVHD(17例急性病和8例慢性病),其中24例有皮肤受累。根据文献,皮肤损害是GVHD最常见的临床表现。在我们的系列研究中,急性GVHD的主要表现是红斑丘疹性皮疹,而慢性GVHD的主要表现是类似硬斑病的硬化性病变。

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