15-Deoxyspergualin controls cyclosporin- and steroid-resistant intestinal acute graft-versus-host disease after allogeneic bone marrow transplantation

Bone Marrow Transplant. 1994 Aug;14(2):315-7.

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.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Bone Marrow Transplantation / immunology*
  • Cyclosporine / therapeutic use
  • Drug Resistance
  • Graft vs Host Disease / drug therapy*
  • Guanidines / therapeutic use*
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Intestinal Diseases / drug therapy*
  • Male
  • Transplantation, Homologous

Substances

  • Adrenal Cortex Hormones
  • Guanidines
  • Immunosuppressive Agents
  • Cyclosporine
  • gusperimus