Graft versus host disease following transfusion of normal blood products to patients with malignancies

A patient undergoing treatment with cytotoxic chemotherapy for Hodgkin's disease developed graft versus host disease (GVHD) following a transfusion of packed red cells. This is the 28th reported patient with a malignancy who did not have a bone marrow transplant and developed GVHD after transfu...

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Veröffentlicht in:Journal of surgical oncology 1987-11, Vol.36 (3), p.206-209
Hauptverfasser: Kessinger, Anne, Armitage, James O., Klassen, Lynell W., Landmark, James D., Hayes, James M., Larsen, Arden E., Purtilo, David T.
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container_end_page 209
container_issue 3
container_start_page 206
container_title Journal of surgical oncology
container_volume 36
creator Kessinger, Anne
Armitage, James O.
Klassen, Lynell W.
Landmark, James D.
Hayes, James M.
Larsen, Arden E.
Purtilo, David T.
description A patient undergoing treatment with cytotoxic chemotherapy for Hodgkin's disease developed graft versus host disease (GVHD) following a transfusion of packed red cells. This is the 28th reported patient with a malignancy who did not have a bone marrow transplant and developed GVHD after transfusion of normal blood or blood products. All patients had received cytotoxic chemotherapy prior to acquiring GVHD. The underlying malignancies included lymphoma, acute leukemia, neuroblastoma, rhabdomyosarcoma, and glioblastoma. Twenty‐three of the 28 patients died of GVHD. The incidence of transfusion‐related GVHD in this patient population is low but the illness is often fatal as treatment is largely ineffective. Transfusion‐related GVHD can be prevented by irradiating all blood products with 1500 rad prior to administration.
doi_str_mv 10.1002/jso.2930360311
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This is the 28th reported patient with a malignancy who did not have a bone marrow transplant and developed GVHD after transfusion of normal blood or blood products. All patients had received cytotoxic chemotherapy prior to acquiring GVHD. The underlying malignancies included lymphoma, acute leukemia, neuroblastoma, rhabdomyosarcoma, and glioblastoma. Twenty‐three of the 28 patients died of GVHD. The incidence of transfusion‐related GVHD in this patient population is low but the illness is often fatal as treatment is largely ineffective. 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Apheresis ; Combined Modality Therapy ; Female ; Graft vs Host Disease - etiology ; GVHD ; HLA Antigens - analysis ; Hodgkin Disease - complications ; Hodgkin Disease - therapy ; Humans ; immunodeficiency ; Medical sciences ; Middle Aged ; transfusion ; Transfusion Reaction ; Transfusions. Complications. Transfusion reactions. 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Surg. Oncol</addtitle><description>A patient undergoing treatment with cytotoxic chemotherapy for Hodgkin's disease developed graft versus host disease (GVHD) following a transfusion of packed red cells. This is the 28th reported patient with a malignancy who did not have a bone marrow transplant and developed GVHD after transfusion of normal blood or blood products. All patients had received cytotoxic chemotherapy prior to acquiring GVHD. The underlying malignancies included lymphoma, acute leukemia, neuroblastoma, rhabdomyosarcoma, and glioblastoma. Twenty‐three of the 28 patients died of GVHD. The incidence of transfusion‐related GVHD in this patient population is low but the illness is often fatal as treatment is largely ineffective. Transfusion‐related GVHD can be prevented by irradiating all blood products with 1500 rad prior to administration.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</subject><subject>Combined Modality Therapy</subject><subject>Female</subject><subject>Graft vs Host Disease - etiology</subject><subject>GVHD</subject><subject>HLA Antigens - analysis</subject><subject>Hodgkin Disease - complications</subject><subject>Hodgkin Disease - therapy</subject><subject>Humans</subject><subject>immunodeficiency</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>transfusion</subject><subject>Transfusion Reaction</subject><subject>Transfusions. Complications. Transfusion reactions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis</topic><topic>Combined Modality Therapy</topic><topic>Female</topic><topic>Graft vs Host Disease - etiology</topic><topic>GVHD</topic><topic>HLA Antigens - analysis</topic><topic>Hodgkin Disease - complications</topic><topic>Hodgkin Disease - therapy</topic><topic>Humans</topic><topic>immunodeficiency</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>transfusion</topic><topic>Transfusion Reaction</topic><topic>Transfusions. Complications. Transfusion reactions. 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source Wiley-Blackwell Journals; MEDLINE
subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Combined Modality Therapy
Female
Graft vs Host Disease - etiology
GVHD
HLA Antigens - analysis
Hodgkin Disease - complications
Hodgkin Disease - therapy
Humans
immunodeficiency
Medical sciences
Middle Aged
transfusion
Transfusion Reaction
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
title Graft versus host disease following transfusion of normal blood products to patients with malignancies
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