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Sentinel Trial Uses Donor Skin Patch to Spot Lung Rejection Earlier

A purple rash on the donor skin patch led to a biopsy and steroids, giving doctors an earlier warning of mild lung rejection.

  • The Sentinel trial uses donor skin patches grafted onto patients' forearms to detect lung transplant rejection early. The skin graft acts as a "window," revealing rejection symptoms sooner than traditional diagnostic methods.
  • Lung rejection is difficult to detect because it requires invasive blood tests, biopsies, and X-rays. Rejection rates peak in the first three to six months post-surgery, affecting almost one-third of patients.
  • Darren White, 53, from Stockton received a skin patch during his late 2024 lung transplant. Three months post-surgery, a purple rash appeared on the patch, prompting doctors to treat his mild rejection with steroids.
  • More than a year post-transplant, White thrives and can be "more of a dad" to his toddler Daniel. He said, "Anything that might help to avoid rejection was worth a try."
  • The Sentinel trial aims to recruit 152 patients across five hospitals by 2027. Henk Giele, chief investigator and Oxford plastic surgeon, noted that while the approach is logical, researchers must prove it reliably improves outcomes.
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ITV broke the news in London, United Kingdom on Tuesday, April 7, 2026.
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