Friday, April 30, 2010

Graft vs. Host Disease


On April 15, 2010 Steve was released from the hospital and joyously came home. He had at the time a level one of "graft vs. host disease" (GVHD) due to his body cells fighting the donor's blood cells. This is a natural reaction to a stem cell transplant, and caused a red measle-like rash over Steve's whole body. However, after four days at home, the GVHD worsened to a level 2 or 3 (of a possible 4) and Steve had to be re-admitted to the hospital.

The rash became a solid red/purple over most of Steve's body, and it was burning his skin from inside the cells-out. It caused so much pain on the bottom of Steve's feet and palms of his hands that he could hardly walk for about 7 days. While in the hospital Steve was sent to Huntsman Cancer Hospital twice a week for a special treatment called photopheresis to try and balance out his white blood cells from this extreme reaction.

Finally on April 25, the rash began to let up a little, especially on Steve's feet and hands. Much of Steve's skin is blistered and peeling all over in big areas, sometimes leaving new raw skin exposed. Steve's face is returning to pink, instead of bright red!

Steve has shown a lot of patience and strong resilience in a long and challenging ordeal. He is cheerfully waiting to be put back on real food, hopefully tomorrow, instead of IV nutrition. He (and we also) are so thankful he is really starting to mend.

8 comments:

  1. Glad to hear things calmed down a bit, that looks AWFUL!! :(
    Steve comtinues to amaze me, he is AMAZING!

    stay strong steve, we LOVE you!

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  2. your a soldier bro

    you amaze me

    <3

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  3. Evans family (and Steve and Taryn)! I am so glad I stumbled upon your blog! It appears that you are being introduced into the medical community from the not so fun side. I'm just finishing up my first year of med school and it has been really interesting to read your blog. I'm so glad Dr. Pulsipher has been able to help you guys. Maybe reading all these boring books is beneficial after all? Steve, I was so excited to read that you proposed to Taryn! I had no idea! The East bond, and the Bonneville Stake is a strong one. (John will not live down his comment to my husband and he was born and raised in the Bonneville stake and he never wants to leave, although I think he has since changed his mind. My husband, being from Sandy, simply could not understand at the time :)). We hope you are doing well. We're glad you have Taryn! If I had any good tips about hospital life I'd share, but I don't. Maybe you'll have some? Madison (Morgan... but now Hustedt)

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  4. You are such a strong and brave family. Steve is an inspiration to us all! We continue to pray for you.
    Grethe Hurst

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  5. Ouchy! Steve I swear next time I even think about complaining about the mosquito bites on my toes, I am going to remind myself of what you have been going through. You really are a tough guy!

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  6. I am a nurse putting together a presentation on photopheresis and came across this image of your GVHD rash as well as the following post with the ECP machine. May I have your permission to use these images in a powerpoint presentation? I will not use any images showing your face or any other face. Please email me to let me know if this will be possible. LLemmons@chla.usc.edu. Thank you

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