TABLE 2.
Complications post-HSCT and risk for CMV infection post-HSCT
Variables | All patients | Subset at risk for CMV, R(+), and R(x), with CMV post-HSCT | Subset at risk for CMV, R(+), and R(x), without CMV post-HSCT | P-value |
---|---|---|---|---|
N | 90 | 18 | 62 | |
Acute GVHD | ||||
100-day CI of grade II-IV | 20 (18%) | 3 (17%) | 12 (20%) | .42 |
100-day CI of grade III-IV | 7 (8%) | 1 (6%) | 6 (10%) | |
aGVHD, median days after (IQR) | 22 (15–63) | 20 (16–34) | 25 (13.5–105) | .82 |
Chronic GVHD | ||||
5-year CI of any cGVHD | 5 (22%) | 1 (6%) | 4 (22%) | .89 |
5-year CI of severe cGVHD | 3 (20%) | 0 (0%) | 3 (21%) | |
cGVHD, median days after (IQR) | 75 (50–203) | 48 (48–48)† | 187 (169–1426.5) | .16 |
Use of Systemic Steroids | 40 (44%) | 12 (67%) | 23 (37%) | .026 |
Graft Failure | ||||
None | 71 (79%) | 14 (78%) | 47 (76%) | .98 |
Primary | 5 (6%) | 1 (6%) | 4 (6%) | |
Secondary | 14 (16%) | 3 (17%) | 11 (18%) |
Note: Complications post-HSCT and outcome: overall column with characteristics of all 90 patients; univariate analysis performed only for subset of recipients at risk of CMV infection, R(+) and R(x).
Abbreviations: aGVHD, acute graft-versus-host disease; cGVHD, chronic graft-versus-host disease; CI, cumulative incidence; CMV, cy tomegalovirus; GVHD, graft-versus-host disease; HSCT, hematopoietic stem cell transplant; IQR, interquar tile range.
This patient developed an atypical cGVHD at 48 days after the transplant, affecting skin, eyes, mouth, and vaginal mucosa.