Skip to main content

Advertisement

Log in

The diagnostic conundrum of acute cutaneous graft-versus-host disease: biomarkers remain elusive

  • RESEARCH LETTER
  • Published:
Archives of Dermatological Research Aims and scope Submit manuscript

Abstract

Hematopoietic stem cell transplantation is increasing in frequency with graft-versus-host disease affecting many recipients. When the skin is involved, biopsy is routinely performed but often does not aid in definitive diagnosis. Here, we examine a cohort of 32 patients for potential biomarkers that can aid in the diagnosis of graft-versus-host disease. Neither blood short tandem repeat testing or neutrophil–lymphocyte ratios were predictive of rash etiology in hematopoietic stem cell transplant patients. However, skin short tandem repeat testing showed promise as a predictor in a small minority of cases in this cohort.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Data availability

Data is available by request.

References

  1. Bazinet A, Popradi G (2019) A general practitioner’s guide to hematopoietic stem-cell transplantation. Curr Oncol 26:187–191. https://doi.org/10.3747/co.26.5033

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Gooptu M, Koreth J (2017) Better acute graft-versus-host disease outcomes for allogeneic transplant recipients in the modern era: a tacrolimus effect? Haematologica 102:806–808. https://doi.org/10.3324/haematol.2017.165266

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Zhou Y, Barnett MJ, Rivers JK (2000) Clinical significance of skin biopsies in the diagnosis and management of graft-vs-host disease in early postallogeneic bone marrow transplantation. Arch Dermatol 136:717–721. https://doi.org/10.1001/archderm.136.6.717

    Article  CAS  PubMed  Google Scholar 

  4. Taylor AL, Gibbs P, Sudhindran S, Key T, Goodman RS, Morgan CH, Watson CJ, Delriviere L, Alexander GJ, Jamieson NV, Bradley JA, Taylor CJ (2004) Monitoring systemic donor lymphocyte macrochimerism to aid the diagnosis of graft-versus-host disease after liver transplantation. Transplantation 77:441–446. https://doi.org/10.1097/01.TP.0000103721.29729.FE

    Article  PubMed  Google Scholar 

  5. Srinagesh HK, Levine JE, Ferrara JLM (2019) Biomarkers in acute graft-versus-host disease: new insights. Ther Adv Hematol 10:2040620719891358

Download references

Funding

None to declare.

Author information

Authors and Affiliations

Authors

Contributions

AT: data acquisition and analysis, writing of manuscript. SK: study conceptualization and design, editing of manuscript. JV: study conceptualization and design, data analysis, editing of manuscript.

Corresponding author

Correspondence to Jesse Veenstra.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approved was granted by the Henry Ford Health Institutional Review Board (15548).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tisack, A., Konda, S. & Veenstra, J. The diagnostic conundrum of acute cutaneous graft-versus-host disease: biomarkers remain elusive. Arch Dermatol Res 315, 2467–2469 (2023). https://doi.org/10.1007/s00403-023-02671-w

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00403-023-02671-w

Keywords

Navigation