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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1993-2-9
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pubmed:abstractText |
Severe anaphylactic or allergic reactions may occur during blood transfusion to patients who are IgA-deficient and have anti-IgA in their blood, particularly those with class-specific antibodies. These patients are a particular challenge to the hospital transfusion service when large volumes of blood components are required for transfusion support, as in liver transplantation. We have successfully provided blood components for 3 such patients undergoing liver transplantation. Red cells were washed manually or by automated technique. Platelets were washed manually. All plasma was from IgA-deficient donors. One patient's entire plasma requirements were supplied by autologous plasmapheresis. Serial determinations of IgA levels and anti-IgA titers in 1 patient demonstrated an abrupt fall in anti-IgA with the appearance of barely detectable amounts of IgA during the surgery. IgA-containing plasma cells were demonstrated in the biopsies of liver homografts of 2 patients following transplantation. IgA deficiency with anti-IgA can be successfully managed during liver transplantation with advance planning.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0042-9007
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
63
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
|
pubmed:pagination |
247-50
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1481472-Adolescent,
pubmed-meshheading:1481472-Adult,
pubmed-meshheading:1481472-Autoantibodies,
pubmed-meshheading:1481472-Blood Transfusion,
pubmed-meshheading:1481472-Erythrocytes,
pubmed-meshheading:1481472-Female,
pubmed-meshheading:1481472-Humans,
pubmed-meshheading:1481472-IgA Deficiency,
pubmed-meshheading:1481472-Liver Transplantation,
pubmed-meshheading:1481472-Male,
pubmed-meshheading:1481472-Middle Aged,
pubmed-meshheading:1481472-Plasmapheresis
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pubmed:year |
1992
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pubmed:articleTitle |
Transfusion management of patients with IgA deficiency and anti-IgA during liver transplantation.
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pubmed:affiliation |
University of Michigan Hospitals, Ann Arbor.
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pubmed:publicationType |
Journal Article,
Case Reports
|