2005
DOI: 10.1080/17402520500307926
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Transfusion Related Acute Lung Injury (TRALI) Caused by Red Blood Cell Transfusion Involving Residual Plasma Anti‐HLA Antibodies: A report on two Cases and General Considerations

Abstract: TRALI is considered a serious hazard among immune complications of blood transfusion and its occurrence is admitted to be globally underestimated. Each type of blood product is likely to cause TRALI. We report here on two consecutive observations of TRALI caused by red blood cell concentrates, in which anti-HLA class I and class II antibodies resulting from postgravitational allo-immunization were evidenced in donors. HLA class I and II antigenic community between recipients and donors' husbands were found and… Show more

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Cited by 15 publications
(10 citation statements)
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“…PRCs are the LBP less at risk. However, because they are transfused most frequently, they are involved in one third of TRALI cases [14]. These results are in the same range as those recently presented for Canada [13].…”
Section: Discussionsupporting
confidence: 79%
“…PRCs are the LBP less at risk. However, because they are transfused most frequently, they are involved in one third of TRALI cases [14]. These results are in the same range as those recently presented for Canada [13].…”
Section: Discussionsupporting
confidence: 79%
“…There is no clear definition or threshold separating low plasma volume versus high plasma volume and while the volume of plasma transfused is undoubtedly relevant, the alloantibody titer or avidity and the clinical circumstances of the patient may be equally relevant regarding the occurrence of this reaction . There have been several reports addressing the issues of RBC‐associated TRALI and female donors,21‐23 antibody detection and specificity in female donors, and the relevance of antibody strength . RBC‐associated TRALI has been observed in isolated case reports, cardiac surgery, and critically ill patients .…”
Section: Discussionmentioning
confidence: 99%
“…In addition, given the high rate of transfusion, providers should be prepared to manage rare but serious transfusion-related sequelae such as hemolytic reactions, transfusion-related acute lung injury, and transfusion-related immune reactions. 3638 …”
Section: Discussionmentioning
confidence: 99%