Phototherapy and topical treatments for cutaneous graft vs. host disease in haematopoietic stem cell transplantation patients: a scoping review.


Journal

Journal of the European Academy of Dermatology and Venereology : JEADV
ISSN: 1468-3083
Titre abrégé: J Eur Acad Dermatol Venereol
Pays: England
ID NLM: 9216037

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 07 06 2021
accepted: 17 02 2022
pubmed: 14 3 2022
medline: 22 6 2022
entrez: 13 3 2022
Statut: ppublish

Résumé

Skin is usually the first and most affected organ involved in graft-versus-host disease (GvHD), and treatment is still a clinical challenge. Although the need for skin-directed treatments such as physical treatments and topical medications are generally agreed on, what the gold standard treatment strategy should be remains open to debate. The aim of this scoping review was to synthesize the current knowledge on the topical and physical treatments of cutaneous GvHD in haematopoietic stem cell transplantation patients and to highlight the best evidence available so as to reduce the gap between 'what is known' and 'what is done' in the clinical practice. Twenty-eight studies were included in this qualitative synthesis. Photo-biomodulation with psoralen was not included in this review. Phototherapy (ultraviolet A or B or narrowband B) was the physical treatment most described in the literature in both acute GvHD and chronic GvHD. Topical calcineurin inhibitors such as tacrolimus ointment and pimecrolimus cream as well as corticosteroid creams such as clobetasol and triamcinolone are mainly used in case of chronic GvHD. In all of the studies included in the review, topical treatments were always associated with systemic therapy. None of the topical interventions identified in our review provided strong evidence supporting its use, and the topical approaches seemed to have an adjuvant role in the treatment of cutaneous GvHD.

Identifiants

pubmed: 35279894
doi: 10.1111/jdv.18074
doi:

Substances chimiques

Calcineurin Inhibitors 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1003-1015

Informations de copyright

© 2022 European Academy of Dermatology and Venereology.

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Auteurs

E Rostagno (E)

Pediatric Oncology and Hematology Unit, IRCCS Azienza Ospedaliero Universitaria di Bologna, Bologna, Italy.

A Campanati (A)

Dermatology Unit Department of Clinical and Molecular Sciences, United Hospitals of Ancona and Polytechnic Marche University, Ancona, Italy.

N Mordini (N)

Hematology Division, Azienda Ospedaliera S. Croce e Carle, Cuneo, Italy.

C Cannici (C)

Hematology Unit, AO SS Antonio e Biagio e Cesare Arrigo di Alessandria, Alessandria, Italy.

M Cioce (M)

UOC SITRA, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Roma, Italy.

V De Cecco (V)

Trapianto Emopoietico e Terapia Cellulare, Ospedale Pediatrico Bambino Gesù, Roma, Italy.

E Samarani (E)

Unit of Blood Diseases and Stem Cell Transplantation Department of Clinical Oncology, ASST Spedali Civili di Brescia, Brescia, Italy.

R Foà (R)

Hematology, Department of Translational and Precision Medicine, Sapienza University of Rome, Roma, Italy.

A Olivieri (A)

Clinic of Hematology, United Hospitals of Ancona and Polytechnic Marche University, Ancona, Italy.

S Botti (S)

Hematology Unit, Azienda USL-IRCCS Reggio Emilia, Reggio Emilia, Italy.

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