Summary: Bone marrow/stem cell transplant survivors can experience a number of skin problems after transplant. Monitoring yourself for skin abnormalities and seeking prompt treatment from a dermatologist can help relieve symptoms and prevent serious problems.
Presenter: Silvina Pugliese MD, Stanford Cancer Institute
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Highlights:
(01:53): Dry skin can be caused by genetic factors, medications, and environmental factors. Exposing skin to warm, rather than hot water, avoiding harsh soaps, and moisturizing skin regularly can help control dry skin.
(04:20): Dry lips can be caused by licking your lips, allergies, chronic sun exposure and graft-versus-host disease (GVHD). Therapies include petroleum jelly on the lips, avoiding mint- and cinnamon-flavored toothpaste and mouthwashes, using lip balm while in the sun and, in some cases, topical medications.
(06:54): Itching skin can be caused by allergies, eczema, psoriasis, medications, and certain medical conditions such as thyroid disease, kidney issues, or liver abnormalities..
(09:35): Skin bruising can be caused by advanced age, sun exposure, medications and some blood conditions.
(11:16): Acne can be a problem for adults as well as teenagers and has many causes, including diet. It is usually treated with topical medications, including antibiotics.
(15:31): Skin wounds are often seen in areas with poor circulation such as legs and feet. Graft-versus-host disease can predispose patients the certain skin wounds.
(17:46): Some common skin infections after transplant include impetigo, ringworm, nail fungus and shingles and warts.
(24:08): Drug rashes can resemble infections and need to be promptly treated, as some can be serious or even life-threatening.
(26:10):Two types of hair loss (alopecia) can occur after transplant. Several therapies are available to treat hair loss.
(31:36): Bone marrow/stem cell transplant survivors have an increased risk for skin cancer. Sun protection is essential to minimize the risks of skin cancer.
April 2024, part of the Virtual Celebrating a Second Chance at Life Survivorship Symposium
Presentation is 40 minutes long with 19 minutes of Q & A.
Key Points:
Skin problems that often arise after a bone marrow/stem cell transplant include dry or itchy skin, dry lips, bruising, acne and changes to hair and nails. Patients may also have an increased risk for, wounds, skin infections, rashes and skin cancers.
Transplant survivors have an increased risk for skin cancer. Taking steps to avoid sun exposure and seeing a dermatologist regularly can help prevent and treat skin cancer at an early stage.
Lifestyle changes, such as using the appropriate amount of sunscreen, wearing sun protective clothing when outdoors, and preventing skin exposure to irritants and sources of infection can help reduce the risk of serious skin problems after transplant.
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