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异基因造血细胞移植后口腔慢性移植物抗宿主病和口腔健康:照护团队需要了解的内容。

Oral Chronic Graft-versus-Host Disease and Oral Health after Allogeneic Hematopoietic Cell Transplantation - What the Care Team Needs to Know.

机构信息

Department of Oral Medicine, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, the Netherlands; Department of Oral and Maxillofacial Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

Centro de Oncologia Molecular, Hospital Sírio Libanês, São Paulo, SP, Brazil.

出版信息

Transplant Cell Ther. 2024 Sep;30(9S):S548-S558. doi: 10.1016/j.jtct.2024.07.006.

Abstract

Oral chronic graft-versus-host disease (cGVHD) can present with a multitude of clinical signs and is associated with morbidity and lower quality of life. Oral cGVHC may affect the oral mucosa (reticular white striae, erythema, and/or ulcerations), the salivary glands (hyposalivation and/or xerostomia) and the peri-oral soft tissues (fibrosis and trismus). This review provides a practical and concise approach to the diagnosis and management of oral health needs in pediatric and adult alloHCT recipients within the first 2 years post-transplantation.

摘要

口腔慢性移植物抗宿主病 (cGVHD) 可表现出多种临床体征,并与发病率和生活质量下降相关。口腔 cGVHC 可影响口腔黏膜(网状白色条纹、红斑和/或溃疡)、唾液腺(唾液分泌减少和/或口干)和口周软组织(纤维化和牙关紧闭)。本文综述了在移植后 2 年内,儿科和成人异基因造血干细胞移植受者口腔健康需求的诊断和管理的实用且简明的方法。

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