Evidence map›Paper›PMID 41158300›Full record

ArticleFrontiers in transplantation2025

Case Report: Successful treatment of steroid-refractory graft-vs.-host disease following bilateral lung transplantation.

Benjamin J McCormick, Victoria Rusanov, Zhuo Tao, Thomas Kaleekal, Keith Wille, Manuel R Espinoza-Gutarra

Abstract readCase Reports
In one paragraph

Article in Frontiers in transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Benjamin J McCormickDivision of Hematology and Oncology, The University of Alabama, Birmingham, AL, United States.
Victoria RusanovDivision of Pulmonary Allergy and Critical Care Medicine, The University of Alabama, Birmingham, AL, United States.
Zhuo TaoDepartment of Surgery, The University of Alabama, Birmingham, AL, United States.
Thomas KaleekalDivision of Pulmonary Allergy and Critical Care Medicine, The University of Alabama, Birmingham, AL, United States.
Keith WilleDivision of Pulmonary Allergy and Critical Care Medicine, The University of Alabama, Birmingham, AL, United States.
Manuel R Espinoza-GutarraDivision of Hematology and Oncology, The University of Alabama, Birmingham, AL, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graft-vs.-host disease (GVHD) is a rare but potentially fatal complication following solid organ transplantation (SOT), with limited reported cases and high mortality rates after lung transplantation. We present a case of steroid-refractory GVHD (SR-GVHD) following bilateral lung transplantation and review the literature on GVHD in SOT. A patient developed SR-GVHD affecting the skin, gut, liver, and bone marrow following bilateral lung transplantation. Initial treatment with high-dose corticosteroids was ineffective. Subsequent therapy with rabbit anti-thymocyte globulin (rATG) and ruxolitinib led to complete remission over two months. Short tandem repeat (STR) analysis aided in diagnosis and monitoring. This case highlights the importance of early diagnosis and aggressive treatment of GVHD following SOT. We propose a treatment algorithm including rapid escalation to multi-agent immunosuppression for SR-GVHD. Interdisciplinary collaboration between solid organ and stem cell transplant specialists is crucial. Further research is needed to identify optimal strategies for prevention and treatment of GVHD in SOT recipients.

Indexed as

graft vs. host deseaseimmunosuppressionlung transplantsolid organ transplant (SOP)transplant related complications

Identifiers

PMID41158300
PMCPMC12554701

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.