Graft-versus-Host Disease (GVHD)

Overview


Plain-Language Overview

Graft-versus-Host Disease (GVHD) is a condition that can happen after a person receives a bone marrow or stem cell transplant. It involves the immune system, where the donated cells attack the recipient's body. This mainly affects the skin, liver, and gastrointestinal tract, causing symptoms like rash, jaundice, and diarrhea. The disease occurs because the new immune cells recognize the recipient's tissues as foreign. GVHD can range from mild to severe and can significantly impact overall health. It is a serious complication that requires careful medical attention.

Clinical Definition

Graft-versus-Host Disease (GVHD) is an immune-mediated condition that occurs when donor-derived T lymphocytes recognize recipient tissues as foreign and mount an immune response. It is a common complication following allogeneic hematopoietic stem cell transplantation. The core pathology involves donor immune cells attacking host epithelial tissues, primarily affecting the skin, liver, and gastrointestinal tract. GVHD is classified as acute or chronic based on timing and clinical features. Acute GVHD typically presents within 100 days post-transplant with maculopapular rash, hepatitis, and diarrhea, while chronic GVHD resembles autoimmune disorders with fibrosis and organ dysfunction. The condition significantly increases morbidity and mortality in transplant recipients.

Inciting Event

Locked content

Latency Period

Locked content

Diagnostic Delay

Locked content

Clinical Presentation


Signs & Symptoms

Locked content

History of Present Illness

Locked content

Past Medical History

Locked content

Family History

Locked content

Physical Exam Findings

Locked content

Diagnostic Workup


Diagnostic Criteria

Locked content

Pathophysiology


Key Mechanisms

Locked content

Organs

Locked content

Tissues

Locked content

Cells

Locked content

Chemical Mediators

Locked content

Treatments


Pharmacological Treatments

Locked content

Non-pharmacological Treatments

Locked content

Prevention


Pharmacological Prevention

Locked content

Non-pharmacological Prevention

Locked content

Outcome & Complications


Complications

Locked content

Short-term Sequelae

Locked content

Long-term Sequelae

Locked content

Differential Diagnoses


Differentials

Locked content

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.