The Role of Blood from HLA-Homozygous Donors in Fatal Transfusion-Associated Graft-versus-Host Disease after Open-Heart Surgery
Authors:
- Arie ShamissASArie Shamiss
- Shlomit OrgadSOShlomit Orgad
- Monica HuszarMHMonica Huszar
- Naomi NussinovitchNNNaomi Nussinovitch
- Simcha MeiselSMSimcha Meisel
- Ephraim GazitEGEphraim Gazit
- Jacob LaveeJLJacob Lavee
- Aram SmolinskyASAram Smolinsky
- 6 July 1989
- journal article
- case report
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 321 (1) , 25-28
Abstract
Acute graft-versus-host disease has been described in immunocompromised patients receiving nonirradiated blood products.1 2 3 In addition to the involvement of the skin, liver, and gut typically seen in graft-versus-host disease after bone marrow transplantation,4 these patients have bone marrow involvement that results in pancytopenia. The aplasia observed in graft-versus-host disease is presumably due to recognition by the donor's immune-reactive cells of histoincompatible antigens on the host's hematopoietic precursor cells. Transfusion-associated graft-versus-host disease carries a high mortality rate; most patients succumb to infection.2 Because the onset of transfusion-associated graft-versus-host disease is delayed and because its symptoms are similar to those seen in . . .Keywords
This publication has 11 references indexed in Scilit:
- Transfusion-associated-graft-vs-host disease in a presumed immunocompetent patientArchives of internal medicine (1960), 1988
- CHANGE OF HLA PHENOTYPE IN POSTOPERATIVE ERYTHRODERMAThe Lancet, 1988
- Graft versus host disease following transfusion of normal blood products to patients with malignanciesJournal of Surgical Oncology, 1987
- Transfusion-induced graft versus host disease in pregnancyClinical and Laboratory Haematology, 1987
- Transfusion-associated graft-versus-host diseaseHuman Pathology, 1987
- Transfusion-associated graft-versus-host diseaseHuman Pathology, 1986
- POST-TRANSFUSION GRAFT-VERSUS-HOST DISEASE AFTER OPEN HEART SURGERYThe Lancet, 1986
- Human Cutaneous Graft-Versus-Host-DiseaseJournal of Investigative Dermatology, 1985
- Graft-versus-host reaction following blood product transfusionThe American Journal of Medicine, 1982
- Chronic graft-versus-host disease in 52 patients: adverse natural course and successful treatment with combination immunosuppressionBlood, 1981