The Methotrexate is given in small doses several times after the transplant. The side effects of Methotrexate include mouth sores with difficulty in eating and swallowing and reversible liver damage. The side effects of mucositis are temporary but can be quite uncomfortable. Again, the side effects are temporary and go away once the steroids are discontinued. Other therapies such as extremely high doses of steroids and a drug called anti-thymocyte globulin are then used for these patients.
Patients frequently have lung problems, and pulmonary doctors works very closely with the patients.
Likewise, many patients have bone damage from long-term steroid use, requiring a bone specialist. Patients also work extensively with physical therapy to improve rehabilitation from this disease. At Hopkins there are a number of treatment protocols for patients. Read our legal and disclaimer notice.