Document Detail


Pulmonary transfusion reactions.
MedLine Citation:
PMID:  17198842     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transfusion reactions remain a common complication of transfusion therapy; reactions affecting the lungs are some of the most serious. Several different mechanisms are responsible for pulmonary transfusion reactions, and most cause adverse effects in addition to lung injury. Fluid overload can lead to pulmonary edema, antibodies reacting with plasma proteins can cause bronchospasm and anaphylaxis, and particulate matter can produce microemboli. These reactions are well understood and usually can be prevented. Transfusions are also associated with acute lung injury and acute respiratory distress syndrome (ARDS), but their etiology is poorly understood and they remain clinically problematic. Neutrophil antibodies cause some of these serious as well as mild pulmonary reactions, but the exact role of leukocyte antibodies in pulmonary reactions remains unclear. Other blood donor, blood component, and transfusion recipient factors likely play a contributing or modulating role in pulmonary transfusion reactions, but prospective studies are needed to better understand their role.
Authors:
David F Stroncek
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in hematology     Volume:  44     ISSN:  0037-1963     ISO Abbreviation:  Semin. Hematol.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-02     Completed Date:  2007-02-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404514     Medline TA:  Semin Hematol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2-14     Citation Subset:  IM    
Affiliation:
Department of Transfusion Medicine, Clinical Center, National Institutes of Health, Bethesda, MD 20892-1184, USA. dstroncek@cc.nih.gov
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MeSH Terms
Descriptor/Qualifier:
Blood Component Transfusion / adverse effects*
Blood Donors
Case-Control Studies
Hemolysis / physiology
Humans
Hypersensitivity / physiopathology
Pulmonary Circulation / physiology
Respiratory Distress Syndrome, Adult / immunology*,  physiopathology

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