Chronic GVHD ~ Let’s talk about it!

Posted by Lori, Volunteer Mentor @loribmt, Mar 18, 2021

Those of us who have received peripheral stem cell transplants (bone marrow transplants) know first hand what a rare and amazing gift it is to be given a second chance at life. But it can come with a few interesting challenges and adventures in the form of Chronic Graft Vs Host Disease (GvHD).

At this posting, in 3 months I’ll be 2 years post transplant. So far I’ve had two serious, but quickly controlled episodes of GvHD. I’m still on a very low dose of Tacrolimus (.5mg daily) for maintenance as a precaution. From routine blood draws there is indication of slight liver involvement from GvH and my kidneys aren’t delighted with continued meds to treat the liver. My awesome transplant doctor, who is very conservative in treatment, is monitoring everything and is not concerned. He feels we’ve struck a good balance right now and expects at some point for me to be fully off the Tacro. Not to jinx anything but right now I’m feeling healthy and energetic.

C-GVHD symptoms can range from mild to severe and affect every part of the body with side effects such as rashes, dry skin and eyes, joint pain, GI problems or organ damage. It’s routinely held in check with lotions, steroids and anti inflammatory medications.

What are your Chronic GVHD adventures and challenges?
What medications or treatments have worked for you?

Interested in more discussions like this? Go to the Bone Marrow Transplant (BMT) & CAR-T Cell Therapy Support Group.

Profile picture for marylou329 @marylou329

Hi Lori,
I had my fibroscan yesterday, but no results yet. However, my LFT'S were elevated even on the Ursidiol. My conservative transplant doctor started me on prednisone and an anti fungal. He said it's better not to wait and stated it is mild liver GVHD. I was hoping I was going to dodge that bullet after 1yr and 3 month's, but I guess GVHD is hard to dodge.
I will see him in 2 weeks and I pray it calms my liver down. I'm not looking forward to the Prednisone because of the side effects, but you do what you have to do and I will deal with it.
Reading your post gives me hope and makes me feel like I'm not alone.

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@marylou329, how did the fibroscan go? How are you doing on prednisone and the antifungal?

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