Graft-versus-host disease (GVHD) is a well-known complicationof allogeneic bone marrow transplantation and is increasinglybeing recognized after solid-organ transplantation and transfusion1,2,3.Like GVHD occurring after bone marrow transplantation, transfusion-associatedGVHD 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 associatedwith bone marrow aplasia, usually does not respond to immunosuppressivetherapy, and is fatal in most cases4,5,6,7,8,9,10. Since gammairradiation of cellular blood components before transfusioncan prevent the development of transfusion-associated GVHD,it is critical to identify susceptible hosts.
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.
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