Table 2

Clinical GVHD staging strategy

StageSkinLiver (bilirubin)Gastrointestinal tractActivity (inversely related to GVHD)
No GVHD rash < 4-fold increase over baseline No diarrhea Animal unable to respond normally to stimulation 
Rash < 25% body surface area 4- to 8-fold increase over baseline “Mild” diarrhea with no other cause Severely decreased or altered activity 
Rash 25%-50% body surface area 8- to 20-fold increase over baseline “Moderate” diarrhea with no other cause Moderately decreased or altered activity 
Rash > 50% body surface area 20- to 50-fold increase over baseline “Severe” diarrhea with no other cause Normal activity 
Generalized erythroderma with bullous formation > 50-fold increase over baseline “Very severe” diarrhea with no other cause  
StageSkinLiver (bilirubin)Gastrointestinal tractActivity (inversely related to GVHD)
No GVHD rash < 4-fold increase over baseline No diarrhea Animal unable to respond normally to stimulation 
Rash < 25% body surface area 4- to 8-fold increase over baseline “Mild” diarrhea with no other cause Severely decreased or altered activity 
Rash 25%-50% body surface area 8- to 20-fold increase over baseline “Moderate” diarrhea with no other cause Moderately decreased or altered activity 
Rash > 50% body surface area 20- to 50-fold increase over baseline “Severe” diarrhea with no other cause Normal activity 
Generalized erythroderma with bullous formation > 50-fold increase over baseline “Very severe” diarrhea with no other cause  

GVHD indicates graft-versus-host disease.

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