Kumar N D, Sharma S, Sethi S, Singh R P
University College of Medical Sciences, Shahdara, Delhi.
Indian J Pathol Microbiol. 1993 Jul;36(3):282-4.
A case of anaphylactoid transfusion reaction associated with anti-IgA antibodies is reported. The patient had low levels of serum IgA. She developed serious reaction characterised by erythematous rash, pruritus, cyanosis and dyspnoea after transfusion of otherwise compatible blood. Review of literature reveals that anaphylactoid transfusion reactions are very rare although frequency of anti-IgA in general population is quite high. The IgA deficient donors (aIgA) form a unique resource of blood components for the clinical management of patients with anaphylactoid reactions caused by anti-IgA.
报告了一例与抗IgA抗体相关的类过敏输血反应病例。该患者血清IgA水平较低。她在输注其他方面匹配的血液后出现了以红斑皮疹、瘙痒、发绀和呼吸困难为特征的严重反应。文献回顾显示,类过敏输血反应非常罕见,尽管一般人群中抗IgA的频率相当高。IgA缺乏的献血者(aIgA)为临床治疗由抗IgA引起的类过敏反应患者提供了独特的血液成分资源。