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. 2010 Aug 26;3:105–117. doi: 10.2147/SCCAA.S6815

Table 4.

The overall Glucksberg grading system for acute GvHD

Grade of aGvHD Degree of organ involvement
I Skin + to ++
II Skin + to +++
Gut and/or liver +
Mild decrease in clinical performance
III Skin ++ to +++
Gut and/or liver ++ to +++
Marked decrease in clinical performance
IV Skin ++ to ++++
Gut and/or liver ++ to ++++
extreme decrease in clinical performance

Abbreviations: GvHD, graft-versus-host disease, aGvHD, acute GvHD.