Chronic GVHD ~ Let’s talk about it!
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.
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Thanks for your post. I am at about the same point post transplant as you are. I had some acute gvhd but my worst has been chronic eye and vaginal. I am using autologous serum tears for the eyes with decent results but I have a steroid induced cataract that is really impacting my vision. The vaginal is something they never warned me about. I will just leave it at this: I look like a 2 year old now. I am on .5 and 1.0 sirolimus every other day and just this week had my first covid vaccine. I think that I’ve started flaring—especially in my eyes. I’m determined not to go back on prednisone. I really struggle with fatigue and am still not able to work.
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