
Frontiers in Immunology, Год журнала: 2025, Номер 16
Опубликована: Фев. 5, 2025
Objective To investigate the effectiveness of lacrimal gland ultrasonography in assessment chronic ocular graft-versus-host-disease (oGVHD) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) and to establish correlation between surface ultrasonographic results. Method The cross-sectional study included 57 participants aged 18 older, who were at least 100 days allo-HSCT. was conducted oGVHD clinic Peking University People’s Hospital March June 2023. Patients categorized into groups according International Chronic (ICCGVHD) consensus group diagnostic criteria or 2005 National Institutes Health (NIH) classification for GVHD. Demographics transplantation-related information collected all participants, including age, gender, donor-recipient HLA matching, ABO gender combination duration disease activity severity involvement assessed using various parameters such as Ocular Surface Disease Index (OSDI), Schirmer test, tear film break-up time (BUT), meniscus height, corneal/conjunctival staining meibomian dropout. Lacrimal structures by B-mode Doppler measure long diameter, thick homogeneity parenchymal vascularization. Statistical analyses performed determine differences conditions well condition findings. Result (1) with definite probable exhibited a significantly longer allo-HSCT compared non-oGVHD patients (H=11.264, p<0.01), median durations 247(164,894) 525(310,928) days, respectively, 204(169,323.25) patients. (2) Compared patients, both showed lower average test (H=31.188, TBUT (H=11.853, height (H=13.630, p<0.01) higher OSDI (F=27.992, corneal scores (χ²=23.66, p<0.05) temporal conjunctival (χ²=14.84, p<0.05). (3) glands vascularization did not exhibit significant three groups. (4) diameter had positive correlations (r=0.297, negative (r=-0.313, total (r=-0.285, demonstrated (r=0.404, (r=-0.273, p<0.05), (r=-0.264, nasal (r=-0.271, (r=-0.312, Homogeneity found be correlated status. Conclusion is worse than that observed non-GVHD main manifestations include keratoconjunctival injury reduction secretion stability. These effects appear common result chemoradiotherapy-induced inflammation rejection-associated responses. There no morphology revealed ultrasonography. This suggests rejection may primary cause changes While can provide insight secretion, its efficacy diagnosing appears limited.
Язык: Английский