Non-Malignant Late Cutaneous Changes After Allogeneic Hematopoietic Stem Cell Transplant in Children

    Jennifer T. Huang, James Song, Elena B. Hawryluk, Wendy B. London, Deliang Guo, Makuteswaran Sridharan, David E. Fisher, Leslie Lehmann, Christine Duncan
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    TLDR Skin changes like hair loss, white patches, and nail changes are common in children after bone marrow transplants, often linked to chronic rejection.
    The document summarizes a study that investigated non-malignant late cutaneous changes in 85 children after allogeneic hematopoietic stem cell transplant (HSCT). The study found that 25% of patients experienced alopecia, 14% had vitiligo, 16% had psoriasis/sebopsoriasis, and 6% had nail changes. Chronic graft-versus-host disease (cGVHD) was a significant risk factor for vitiligo, alopecia, and nail changes. Alopecia was also associated with busulfan conditioning and a family history of early male pattern baldness. The study concluded that these cutaneous changes are common after HSCT in children, with cGVHD being a major risk factor, and highlighted the importance of early detection and management to mitigate the psychosocial impact. The study's cross-sectional design may limit the generalizability of the findings, and the associations between vitiligo, psoriasis/sebopsoriasis, and certain risk factors were not analyzed due to a lack of established associations in the literature.
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