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Updated: May 22, 2026

Bone Marrow Transplantation Platform to Investigate the Role of Dendritic Cells in Graft-versus-Host Disease
Published on: March 17, 2020
Diagnosis and management of acute graft-versus-host disease
Fiona L Dignan1, Andrew Clark, Persis Amrolia
1Section of Haemato-oncology, The Royal Marsden NHS Foundation Trust, London, UK.
Insights
This guideline provides recommendations for diagnosing and managing acute graft-versus-host disease (GVHD). It covers initial treatment and options for steroid-refractory cases, aiming to control GVHD while reducing toxicity and relapse risks.
Area of Science:
- Hematology
- Oncology
- Transplantation Immunology
Background:
- Acute graft-versus-host disease (GVHD) is a significant complication following allogeneic stem cell transplantation.
- Effective management strategies are crucial to improve patient outcomes and reduce transplant-related morbidity.
Purpose of the Study:
- To establish evidence-based recommendations for the diagnosis and management of acute GVHD.
- To provide guidance on primary treatment and salvage therapies for steroid-refractory acute GVHD.
Main Methods:
- A systematic review of existing literature was conducted by a joint working group.
- Recommendations were formulated based on the reviewed evidence.
Main Results:
- The guideline details diagnostic criteria and grading systems for acute GVHD.
- It outlines primary treatment approaches and therapeutic options for steroid-refractory disease.
Conclusions:
- Adherence to these recommendations can optimize GVHD control.
- Minimizing treatment toxicity and the risk of disease relapse are key objectives.
Abstract:
A joint working group established by the Haemato-oncology subgroup of the British Committee for Standards in Haematology (BCSH) and the British Society for Bone Marrow Transplantation (BSBMT) has reviewed the available literature and made recommendations for the diagnosis and management of acute graft-versus-host disease. This guideline includes recommendations for the diagnosis and grading of acute graft-versus-host disease as well as primary treatment and options for patients with steroid-refractory disease. The goal of treatment should be effective control of graft-versus-host disease while minimizing risk of toxicity and relapse.
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