Life After Allogeneic Stem Cell Transplantation Leukemia And

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GVHD: TREATMENT• Treatment– Immune suppression with steroids and othermedications• Often long term• 80% of all patients ultimately off therapy.• Side effects from medications often as bad as GVHD.– Muscle wasting and weakness (steroid myopathy)– Increased risk of infection– Other– Ophthalmology, dental evaluations as needed– Physical therapy!!– Exercise
<strong>Allogeneic</strong> SCT: Infections• Highest risk in first year or with GVHD• Bacterial– Risk with neutropenia– Risk with Central lines– Vaccinate!• PCP: Pneumocystis– Prophylaxis: Bactrim or Dapsone• Fungal:– Prophylaxis with fluconazole or voriconazole– Risk with neutropenia, steroids and GVH• Viral– CMV: blood work to screen for early infection/re-activation– VZV (chickenpox, “shingles”) & HSV: Acyclovir prophylaxis– Flu; H1N1: Vaccinate!
Page 1 and 2: Life After Allogeneic Stem CellTran
Page 3 and 4: Allogeneic Stem CellTransplantation
Page 5 and 6: Allogeneic SCT:Side Effects and Com
Page 7 and 8: The Immediate post-transplanttransp
Page 9 and 10: The “I I should be feeling better
Page 11 and 12: DONORHOSTGVHSkinGut
Page 13 and 14: Acute Graft-vsvs-Host Disease• Sk
Page 15: Chronic GVHD• Mucous membranes- D
Page 19 and 20: Butdon’tcarry ittoo far!
Page 21 and 22: Second cancers• Definition: biolo
Page 23: Allogeneic SCT: HeartComplications
Page 26 and 27: Life after Transplant• Muscles an
Page 28 and 29: Depression and Anxiety• A certain
Page 30 and 31: Managing Relationships withFriends
Page 32: ResourcesLeukemia & Lymphoma Societ

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