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Original Article
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Volume 328:766-770 March 18, 1993 Number 11
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Graft-versus-Host Disease Associated with Transfusion of Blood from Unrelated HLA-Homozygous Donors
Ramesh A. Shivdasani, Frank G. Haluska, Nancy L. Dock, Jeffrey S. Dover, Elise J. Kineke, and Kenneth C. Anderson

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Graft-versus-host disease (GVHD) is a well-known complication of allogeneic bone marrow transplantation and is increasingly being recognized after solid-organ transplantation and transfusion1,2,3. Like GVHD occurring after bone marrow transplantation, transfusion-associated GVHD is characterized by fever, skin rash, diarrhea, and hepatitis. However, transfusion-associated GVHD typically occurs much sooner (median, 10 to 12 days after transfusion), is frequently associated with bone marrow aplasia, usually does not respond to immunosuppressive therapy, and is fatal in most cases4,5,6,7,8,9,10. Since gamma irradiation of cellular blood components before transfusion can prevent the development of transfusion-associated GVHD, it is critical to identify susceptible hosts.

The . . . [Full Text of this Article]

Case Report

Results

Pathological Findings

HLA Typing

Discussion


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From the Divisions of Medical Oncology (R.A.S., F.G.H.), Immunogenetics (E.J.K.), and Tumor Immunology (K.C.A.), Dana-Farber Cancer Institute, Boston; the Division of Dermatology, New England Deaconess Hospital, Boston (J.S.D.); the Department of Medicine, Harvard Medical School, Boston (R.A.S., F.G.H., J.S.D., K.C.A.); and the American Red Cross Blood Services, Greater Upstate New York Region, Syracuse (N.L.D.). Presented in abstract form at the American Society of Hematology Annual Meeting, December 4-8, 1992, Anaheim, California.

Address reprint requests to Dr. Anderson at the Division of Tumor Immunology, Dana-Farber Cancer Institute, 44 Binney St., Boston, MA 02115.

References


Related Letters:

Graft-versus-Host Disease
Petz L. D., Anderson K. C., Shivdasani R. A.
Extract | Full Text  
N Engl J Med 1993; 329:664-665, Aug 26, 1993. Correspondence

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