Ir. Parkes et al., GRAFT-VERSUS-HOST DISEASE-LIKE ERUPTION IN A PATIENT WITH NON-HODGKINS-LYMPHOMA, British journal of dermatology, 137(1), 1997, pp. 137-139
Graft-versus-host disease (GVHD) is most commonly seen as a complicati
on of bone marrow transplantation, although it can occur whenever tiss
ue or blood products are given whereby immunologically competent donor
lymphocytes react against host tissues, A 65-year-old man with non-Ho
dgkin's lymphoma developed a severe widespread erosive eruption of the
skin and mucosal surfaces, Clinically and histologically it was ident
ical to cutaneous GVHD even though the patient had never received tiss
ue or blood products. He failed to respond to conventional therapy for
GVHD, but his skin improved significantly on treating his underlying
lymphoma, which eventually proved fatal. There are two previous report
s of GVHD associated with malignancy but we believe this to be the fir
st case secondary to a lymphoma.