Graft-versus-host disease following deceased donor liver transplant

Document Type

Conference Proceeding

Publication Date

2017

Publication Title

Am J Transplant

Abstract

We reviewed our institutional experience with graft-versus-host disease(GVHD) following orthotopic liver transplantation (OLT). All OLT from 10/1/2013-10/1/2016 were reviewed. Five cases of GVHD were identified. Recipient-Donor characteristics (Table presented). All had NASH cirrhosis. Donor-recipient age difference was 8 to 32 years. Despite donor BMI and liver weight 2.0-2.4kg, biopsies found 2.0kg) and recipient lymphocyte depletion (ALC 0) to allow donor lymphocytes to persist and activate. A high level of suspicion and prompt biopsy/DNA testing are essential. Treatment modalities must be balanced with the risks of rejection and infection, but remission and survival are possible.

Volume

17

First Page

783

Last Page

784

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