Supportive care recommendations for pulmonary chronic GVHD
| Pulmonary function test and high-resolution expiratory phase chest computerized tomography to assess for chronic GVHD of the lung Routine monitoring of pulmonary function test in high-risk population is warranted Systemic therapy with corticosteroid and other chronic GVHD agents Macrolides, inhaled steroids, and leukotriene inhibitors are helpful as an adjunctive therapy (ie, FAM therapy) Consideration of use of intravenous immunoglobulins, particularly those with low IgG levels Adequate vaccinations against pneumococcus and seasonal influenza Referral to pulmonology and consideration for pulmonary rehabilitation |
| Pulmonary function test and high-resolution expiratory phase chest computerized tomography to assess for chronic GVHD of the lung Routine monitoring of pulmonary function test in high-risk population is warranted Systemic therapy with corticosteroid and other chronic GVHD agents Macrolides, inhaled steroids, and leukotriene inhibitors are helpful as an adjunctive therapy (ie, FAM therapy) Consideration of use of intravenous immunoglobulins, particularly those with low IgG levels Adequate vaccinations against pneumococcus and seasonal influenza Referral to pulmonology and consideration for pulmonary rehabilitation |
FAM, fluticasone, azithromycin, and montelukast.