Gupta Anju, Bansal Deepak, Dass Rashna, Das Ashim
Division of Pediatric Hematology-Oncology, Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012 India.
Indian Pediatr. 2004 Dec;41(12):1260-4.
Transfusion-associated graft-versus-host disease (TA-GVHD) is a dreaded complication in immunocompromized hosts. The diagnosis is often delayed because of lack of awareness and the non-specific clinical features. More than 90% patients succumb to refractory infections. The only effective preventive measure is administration of irradiated blood products, which must be made available in centers managing immunocompromised patients. We report three cases and discuss pathophysiology and preventive strategies in this communication.
输血相关移植物抗宿主病(TA-GVHD)是免疫功能低下宿主中一种可怕的并发症。由于认识不足和临床特征不具特异性,诊断往往延迟。超过90%的患者死于难治性感染。唯一有效的预防措施是输注辐照血液制品,在管理免疫功能低下患者的中心必须提供这种制品。我们在本交流中报告三例病例并讨论其病理生理学和预防策略。