Well, we just met with the GvH team and they say that the rash is consistent with a drug reaction and not GvH. That's good news for now. It means that Trish will not get high dose steroids yet, but they took another skin biopsy today and will call us tomorrow if it is positive for GvH. This means Trish could be getting a whole lot of skin biopsies on the way to getting treated for GvH. If this second biopsy is still consistent with a drug reaction and shows no signs of GvH, they may treat Trish with a normal dose of steroids (Zpack kinda thing) just to help stop the rash. If they wait for the drug reaction to complete its course normally it could take a long while and mask a true GvH reaction.
A skin biopsy isn't fun - Trish has had two of them in her legs and today's was in her arm. They numb the area with two lidocaine shots -- which hurt more than the biopsy itself (that's the purpose of the lidocaine). Than they take a pencil looking device that is kind of like a metal punch and it punches out a piece of skin for them to pull out.
Anywho, they really believe this is a drug reaction (bactrim) which was stopped two days after her discharge.
Gotta run now...Trish wants to get out of the IPOP cause we are done.
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