Graft-versus-Host Disease in the Central Nervous System: A Real Entity?
Open Access
- 1 April 1988
- journal article
- case report
- Published by Oxford University Press (OUP) in American Journal of Clinical Pathology
- Vol. 89 (4) , 543-546
- https://doi.org/10.1093/ajcp/89.4.543
Abstract
Graft-versus-host disease (GVHD) classically involves the skin, intestines, liver, esophagus, and tongue. Clinically apparent disease involving the heart, lungs, kidneys, and central nervous system (CNS) is frequently secondary to other complicating factors. This report describes a case of an infant with severe combined immune deficiency (SCID) who developed un-usual manifestations of GVHD following a bone marrow transplant (BMT). These were complete heart block and respiratory insufficiency in the absence of significant pulmonary disease. He lived 133 days post-transplantation. At autopsy, the brain showed focal lymphohistiocytic aggregates which may represent a hitherto unreported lesion of GVHD.Keywords
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