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What is your standard diagnostic workup to confirm GVHD in a patient post-BMT with skin rash and jaundice?

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What testing would you use to diagnose suspected GVHD in a patient post-BMT with skin rash and jaundice?

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2 Answers
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Hematology · Dana-Farber Cancer Institute
Answered on

I assume there is no diarrhea, so sigmoidoscopy would not be helpful. Gut and liver pathology are useful. Skin biopsy is less helpful. It can be fairly nonspecific, but we do it to rule out other diagnoses that have more definitive pathology. Ultimately, it is a clinical diagnosis. Liver biopsy woul...

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Dermatology · Johns Hopkins Timeshare Practice
Answered on

Skin biopsy would be a good start, and I would also consider liver function tests, evaluation of the GI tract, imaging studies, endoscopy, etc.

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