{"entities":{"Q49236":{"pageid":39609,"ns":120,"title":"Item:Q49236","lastrevid":204707,"modified":"2026-08-13T19:36:36Z","type":"item","id":"Q49236","labels":{"mul":{"language":"mul","value":"4B24.1"},"pt-br":{"language":"pt-br","value":"Doen\u00e7a do enxerto-versus-hospedeiro cr\u00f4nica"},"en":{"language":"en","value":"Chronic graft-versus-host disease"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Doen\u00e7a do enxerto-versus-hospedeiro (GVHD) cr\u00f4nica apresenta-se mais de 100 dias ap\u00f3s o transplante de c\u00e9lulas linfoides de um doador imunocompetente. Tem caracter\u00edsticas cl\u00ednicas espec\u00edficas pela quais pode ser distinguida da GVHD aguda. Pode surgir como recidiva, mas frequentemente, sucede a GVHD aguda. Menos comumente, ocorre de forma concomitante \u00e0 GVHD aguda. As fases iniciais de GVHD cr\u00f4nica s\u00e3o caracterizadas por erup\u00e7\u00e3o liquenoide disseminado, poiquilodermia e envolvimento de unhas e mucosa oral. Se a doen\u00e7a permanece ativa, esclerose progressiva da pele e de tecidos profundos provoca contraturas articulares, fibrose de \u00f3rg\u00e3os internos e grave m\u00e1 absor\u00e7\u00e3o."},"en":{"language":"en","value":"Chronic graft-versus-host disease (GVHD) presents more than 100 days after engraftment of immunocompetent donor lymphoid cells. It has specific clinical features by which it can be distinguished from acute GVHD. It may arise de novo but frequently follows acute GVHD. Less commonly, it occurs concurrently with acute GVHD. The earlier stages of chronic GVHD are characterised by a widespread lichenoid rash, poikiloderma and involvement of nails and oral mucous membranes. If the disease remains active, progressive sclerosis of the skin and deeper tissues may result in joint contractures, fibrosis of internal organs and severe malabsorption."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"462ba71e03c1ebea4a4d5a058e31a1566b774358","datavalue":{"value":"https://id.who.int/icd/entity/621183043","type":"string"},"datatype":"url"},"type":"statement","id":"Q49236$56D72877-9D74-4270-8765-15944A14A52D","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"181572225ac5f42c730adaf1ebfff961cd61cbcd","datavalue":{"value":"CID11:4B24.1","type":"string"},"datatype":"string"},"type":"statement","id":"Q49236$4240AF41-0143-4D12-804C-D873A6869CA9","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"5cdc957db824dbaa6b1e7d4248fc6fbf294644d2","datavalue":{"value":"dki-india-4B24.1","type":"string"},"datatype":"string"},"type":"statement","id":"Q49236$1F0329D1-DB3D-4771-A0A5-F28562CAD614","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q49236$397F1BCA-A61D-4543-8160-CC9AE8B4A215","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q49236$A895A60A-589E-474F-99A3-52F35B754459","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q49236$E5A9546C-6BAE-4FD8-B7CE-A83C643111A9","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"d84213756c9d96b7c60ab223b739bd8feee1a649","datavalue":{"value":{"entity-type":"item","numeric-id":24223,"id":"Q24223"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q49236$99BCFF27-7985-40CB-868C-44FD064B0D1A","rank":"normal"}]},"sitelinks":{}}}}