Abstract
We report a case of cyclosporin- and methylprednisolone-resistant intestinal acute graft-versus-host disease (GVHD) after allogeneic bone marrow transplantation which responded to a new immunosuppressant, 15-deoxyspergualin (DSG). Endoscopy showed lymphoid hyperplasia with CD3+, CD4+, CD8- lymphocyte infiltration into the submucosa of the jejunum and colon. DSG effectively suppressed this intestinal acute GVHD.
MeSH terms
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Acute Disease
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Adrenal Cortex Hormones / therapeutic use
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Adult
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Bone Marrow Transplantation / immunology*
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Cyclosporine / therapeutic use
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Drug Resistance
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Graft vs Host Disease / drug therapy*
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Guanidines / therapeutic use*
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Humans
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Immunosuppressive Agents / therapeutic use*
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Intestinal Diseases / drug therapy*
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Male
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Transplantation, Homologous
Substances
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Adrenal Cortex Hormones
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Guanidines
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Immunosuppressive Agents
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Cyclosporine
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gusperimus