“…Dyspnea, fever, chills, hematuria, facial flushing and severe pain especially in the lumbar area may occur. Although rare, AHTR can also result in lethal complications including hypotensive shock, disseminated intravascular coagulation, renal failure and death [3]. Red blood cell exchange therapy (RBCET) has been used to treat hemoglobinopathies such as sickle cell disease and thalassemia [4].…”