Pediatrics, University of Florida College of Medicine, Gainesville, Florida, USA
College of Medicine, University of Florida, Gainesville, Florida, USA.
BMJ Case Rep. 2023 Mar 22;16(3):e254908. doi: 10.1136/bcr-2023-254908.
Plasma donation has been widely used to recover medically vital components, such as immunoglobulins and clotting factors. Although generally well tolerated, there have been reports in the medical literature of reactions following blood and plasma donation. We present the first case, to our knowledge, of lower extremity oedema as the only complication noted following plasma donation in an adolescent female without underlying risk factors. Laboratory evaluation was unremarkable with the exception of decreased total serum protein. Symptoms resolved with conservative management and avoidance of plasma donation. Our case highlights the importance of screening for all sources of income in adolescents to assess for health disparities, evaluate risk factors and provide appropriate guidance.
血浆捐献被广泛用于回收医学上重要的成分,如免疫球蛋白和凝血因子。尽管通常耐受性良好,但在医学文献中已有报道称,在献血和血浆捐献后会出现反应。据我们所知,这是首例在无潜在风险因素的青春期女性中,除了下肢水肿外,在血浆捐献后唯一观察到的并发症。实验室检查除总血清蛋白降低外无明显异常。症状通过保守治疗和避免血浆捐献得到缓解。我们的病例强调了对青少年所有收入来源进行筛查以评估健康差异、评估风险因素和提供适当指导的重要性。