Table 7. Chronic Graft-Versus-Host Disease (GVHD) Symptoms in the Mouth and GI Tracta

Organ or SiteDiagnosticbDistinctivecOther Featuresd Common (Seen With Both Acute and Chronic GVHD)
MouthLichen-type features Xerostomia Gingivitis
Hyperkeratotic plaquesMucocele Mucositis
Restriction of mouth opening from sclerosis PseudomembraneseErythema
Mucosal atrophy Pain
Ulcerse
GI Tract Esophageal webExocrine pancreatic insufficiencyAnorexia
Strictures or stenosis in the upper to mid third of the esophaguse Nausea
Vomiting
Diarrhea
Weight loss
Failure to thrive (infants and children)
Total bilirubin, alkaline phosphatase >2 × ULNe
ALT or AST >2 × ULNe

ALT = alanine aminotransferase; AST = aspartate aminotransferase; GI = gastrointestinal; ULN = upper limit of normal.

a–eSee definitions in Table 6.

From: Complications, Graft-Versus-Host Disease, and Late Effects After Pediatric Hematopoietic Stem Cell Transplant (PDQ®)

Cover of PDQ Cancer Information Summaries
PDQ Cancer Information Summaries [Internet].
Bethesda (MD): National Cancer Institute (US); 2002-.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.