{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:32:02Z","timestamp":1763037122433,"version":"3.41.2"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,8,19]],"date-time":"2017-08-19T00:00:00Z","timestamp":1503100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2017,11]]},"abstract":"Abstract<\/jats:title>Acute GVHD<\/jats:styled-content> is a rare complication after liver transplantation that has a high mortality rate. We experienced an infant case complicated with acute GVHD<\/jats:styled-content>. An 8\u2010month\u2010old infant with biliary atresia underwent LDLT<\/jats:styled-content> with a graft obtained from his mother. Their HLA<\/jats:styled-content>s showed a donor\u2010dominant one\u2010way match, not at HLA<\/jats:styled-content>\u2010DR<\/jats:styled-content> but at HLA<\/jats:styled-content>\u2010A, HLA<\/jats:styled-content>\u2010B, and HLA<\/jats:styled-content>\u2010C (recipient; A 31\/33, B 51\/54, C 1\/14, DR<\/jats:styled-content> 9\/11, donor; A 31\/\u2010, B 51\/\u2010, C 14\/\u2010, DR<\/jats:styled-content> 8\/11). The patient exhibited a high fever, skin rash, and diarrhea, and was diagnosed with acute GVHD<\/jats:styled-content> based on the blood chimerism test. Despite immunosuppression treatment with prednisolone and tacrolimus, plasma exchange, blood transfusion including cord blood transplantation, and antibiotics, the child died on postoperative day 126. Donor\u2010dominant one\u2010way matching at HLA<\/jats:styled-content> class 1 can be a high\u2010risk factor for acute GVHD<\/jats:styled-content> despite HLA<\/jats:styled-content> class 2 mismatching.<\/jats:p>","DOI":"10.1111\/petr.13039","type":"journal-article","created":{"date-parts":[[2017,8,20]],"date-time":"2017-08-20T03:52:49Z","timestamp":1503201169000},"source":"Crossref","is-referenced-by-count":11,"title":["Fatal graft\u2010versus\u2010host disease after living\u2010donor liver transplantation from an HLA\u2010DR\u2010mismatched donor"],"prefix":"10.1111","volume":"21","author":[{"given":"Keita","family":"Shimata","sequence":"first","affiliation":[{"name":"Department of Transplantation and Pediatric Surgery Kumamoto University Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rieko","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Kumamoto University Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Anan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Kumamoto University Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koushi","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Transplantation and Pediatric Surgery Kumamoto University Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Transplantation and Pediatric Surgery Kumamoto University Hospital Kumamoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiko","family":"Kouroki","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Kumamoto University Hospital Kumamoto 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