advice on greater fatigue, rash and low immunoglobulin
I am 6yrs on from SCT, last 6 months I have had, Covid, flu, Covid flu and flu. Recently have broken out into a rash that looks like graft versus Host. Immunoglobulin levels are low. Sought advice from GP who is working hard
Answers
Hi Will,
Sorry to hear you've had a prolonged period of illnesses and thank you for reaching out to the forum for some advice.
To date, there is limited literature and evidence about COVID-19 being a potential trigger for GvHD.
We do know that infectious triggers or reactivation of viral infections may contribute to an inflammatory environment to stimulate GVHD.
If you believe you are developing GvHD signs/symptoms I'd advise that you reach out to your BMT team and make them aware. Your GP will be an important support but will not be a specialist in managing GvHD by getting it reviewed and monitored by your BMT team you'll have the best opportunity for early treatment, if required. You may not need to go in for an appointment, if it's a rash they may ask you to send a picture in via email initially.
I hope this has been of some help to you.
Kind regards
Rachel