Transfusion associated graft versus host disease

ABSTRACT

A 70-year-old man developed a skin rash with fever, vomiting and diarrhea ten days after partial gastrectomy for gastric adenocarcinoma which had metastasized to intra-abdominal lymph nodes and liver. Four days later a skin biopsy confirmed the clinical diagnosis of transfusion associated graft versus host disease. His condition deteriorated with jaundice, high liver enzymes, leukopenia and thrombocytopenia. He died 19 days after surgery