Graft‐versus‐host‐induced cirrhosis: Possible mechanisms
Howard M. Shulman – 1 November 1987 – A 28‐yr‐old woman with severe idiopathic aplastic anemia received an HLA‐identical mixed lymphocyte culture nonreactive bone marrow transplant from her brother. In the months after successful engraftment, she developed cutaneous and hepatic graft‐versus‐host disease, associated with marked cholestatic jaundice. Despite a series of therapeutic maneuvers, cholestasis persisted but remained relative stable over the enuing 10 yr. However, serial liver biopsies revealed progressive biliary‐type firbrosis culminating in cirrhosis.