Inflammatory Bowel Disease Following Allogeneic Hematopoietic Cell Transplant for Sickle Cell Disease
Although graft-versus-host disease (GvHD) is an important cause of gastrointestinal (GI) complications after allogeneic hematopoietic stem cell transplantation (HCT), the non-specific symptoms make diagnosis challenging. We described three patients with sickle cell disease who developed inflammatory bowel disease (IBD) like manifestations 4-18 months post-HCT. All patients received peripheral blood stem cell grafts and sirolimus for GvHD prophylaxis. All had chronic diarrhea, and biopsies showed extensive colonic ulceration, non-necrotizing granulomas, with minimal histologic evidence of GvHD. Symptoms resolved promptly with IBD-directed therapy. Our report highlights the importance of considering alternative rare etiologies for GI complications such as IBD after HCT.
Authors
- Jeffrey E. Deyo
- J Alberty
- Ross Maltz (ORCID: https://orcid.org/0000-0001-7850-7555)
- Kiran Joglekar
- Edwin C. Rowland (ORCID: https://orcid.org/0000-0002-1392-6078)
- Hemalatha G. Rangarajan (ORCID: https://orcid.org/0000-0003-3371-2920)
- Akshay Sharma (ORCID: https://orcid.org/0000-0003-3281-2081)
- Samantha Paglinco
- Courtney D. Fitzhugh (ORCID: https://orcid.org/0000-0002-5306-7167)
Institutions
- Arkansas Children's Hospital (US)
- St. Jude Children's Research Hospital (US)
- Nationwide Children's Hospital (US)
- University of Tennessee Health Science Center (US)
- Our Lady of the Lake Children's Hospital (US)
- National Heart, Lung, and Blood Institute (US)
- Arkansas Children’s Foundation (US)
- St. Christopher's Hospital for Children (US)
Publication Details
- Journal
- Pediatric Blood & Cancer
- Published
- 2025-10-20
- DOI
- https://doi.org/10.1002/pbc.32121
- Primary Topic
- Hematopoietic Stem Cell Transplantation
- Type
- article
- Field-Weighted Citation Impact
- 0.00