Life‐threatening adverse reaction followed by thrombocytopenia after passive transfusion of fresh frozen plasma containing anti‐CD36 (Naka) isoantibody
Identifieur interne : 002A65 ( Istex/Corpus ); précédent : 002A64; suivant : 002A66Life‐threatening adverse reaction followed by thrombocytopenia after passive transfusion of fresh frozen plasma containing anti‐CD36 (Naka) isoantibody
Auteurs : Katsuya Morishita ; Shinobu Wakamoto ; Toru Miyazaki ; Shinichiro Sato ; Mitsuhiro Fujihara ; Sadao Kaneko ; Hiroshi Yasuda ; Sadamitsu Yamamoto ; Hiroshi Azuma ; Toshiaki Kato ; Hisami IkedaSource :
- Transfusion [ 0041-1132 ] ; 2005-05.
English descriptors
- Teeft :
- Adverse effects, Adverse reaction, Adverse reactions, Aggregation, Blood center, Blood components, Blood products, Blood recipients, Blood transfusion, Brain surgery, Case report, Cutaneous manifestation, Cytometric, Flow cytometric analysis, Glycoprotein, Healthy adults, Hiroshi azuma, Ikeda, Isoantibody, Moab, Monocyte, Naka, Negative control, Passive transfusion, Plasma protein, Platelet, Platelet membrane glycoprotein, Plts, Posttransfusion, Posttransfusion syndrome, Rantes, Systolic blood pressure, Thrombocytopenia, Transfusion, Transfusion volume.
Abstract
BACKGROUND: Anti‐CD36 isoantibody in blood recipients is reported to cause refractoriness to platelet (PLT) transfusions and posttransfusion purpura–like syndrome. There are few reports, however, about the effects of passively transfused blood products containing this isoantibody on recipients. CASE REPORT: A 67‐year‐old Japanese woman underwent brain surgery. On the 6th postoperative day, the patient experienced tightness of the chest and nausea after receiving a transfusion of fresh frozen plasma (FFP). When she manifested hypotension, the transfusion was discontinued. No cutaneous manifestation was observed. The patient's condition gradually improved soon after the administration of steroids. RESULTS: Her pretransfusion PLT count was 17.1 × 104 per µL. It decreased to 1.9 × 104 per µL 12 hours after transfusion and recovered to 15.4 × 104 per µL 8 days after transfusion. The donor of the FFP had a Type I CD36 deficiency. Flow cytometric analysis identified anti‐CD36 isoantibody in the FFP. The cross‐match between the patient's PLTs and the FFP was positive. The FFP induced the aggregation of PLTs derived from healthy adults. CONCLUSION: This is the first reported case of life‐threatening adverse effects and thrombocytopenia caused by passively transfused anti‐CD36 isoantibody. The possibility of passive infusion of this antibody should be considered in the evaluation of life‐threatening transfusion reactions followed by thrombocytopenia.
Url:
DOI: 10.1111/j.1537-2995.2005.04320.x
Links to Exploration step
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<author><name sortKey="Miyazaki, Toru" sort="Miyazaki, Toru" uniqKey="Miyazaki T" first="Toru" last="Miyazaki">Toru Miyazaki</name>
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<author><name sortKey="Sato, Shinichiro" sort="Sato, Shinichiro" uniqKey="Sato S" first="Shinichiro" last="Sato">Shinichiro Sato</name>
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<author><name sortKey="Fujihara, Mitsuhiro" sort="Fujihara, Mitsuhiro" uniqKey="Fujihara M" first="Mitsuhiro" last="Fujihara">Mitsuhiro Fujihara</name>
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<author><name sortKey="Kaneko, Sadao" sort="Kaneko, Sadao" uniqKey="Kaneko S" first="Sadao" last="Kaneko">Sadao Kaneko</name>
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<author><name sortKey="Yasuda, Hiroshi" sort="Yasuda, Hiroshi" uniqKey="Yasuda H" first="Hiroshi" last="Yasuda">Hiroshi Yasuda</name>
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<author><name sortKey="Yamamoto, Sadamitsu" sort="Yamamoto, Sadamitsu" uniqKey="Yamamoto S" first="Sadamitsu" last="Yamamoto">Sadamitsu Yamamoto</name>
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<author><name sortKey="Azuma, Hiroshi" sort="Azuma, Hiroshi" uniqKey="Azuma H" first="Hiroshi" last="Azuma">Hiroshi Azuma</name>
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<author><name sortKey="Kato, Toshiaki" sort="Kato, Toshiaki" uniqKey="Kato T" first="Toshiaki" last="Kato">Toshiaki Kato</name>
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<author><name sortKey="Ikeda, Hisami" sort="Ikeda, Hisami" uniqKey="Ikeda H" first="Hisami" last="Ikeda">Hisami Ikeda</name>
<affiliation><mods:affiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</mods:affiliation>
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<sourceDesc><biblStruct><analytic><title level="a" type="main">Life‐threatening adverse reaction followed by thrombocytopenia after passive transfusion of fresh frozen plasma containing anti‐CD36 (Naka) isoantibody</title>
<author><name sortKey="Morishita, Katsuya" sort="Morishita, Katsuya" uniqKey="Morishita K" first="Katsuya" last="Morishita">Katsuya Morishita</name>
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<author><name sortKey="Wakamoto, Shinobu" sort="Wakamoto, Shinobu" uniqKey="Wakamoto S" first="Shinobu" last="Wakamoto">Shinobu Wakamoto</name>
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<author><name sortKey="Miyazaki, Toru" sort="Miyazaki, Toru" uniqKey="Miyazaki T" first="Toru" last="Miyazaki">Toru Miyazaki</name>
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<author><name sortKey="Sato, Shinichiro" sort="Sato, Shinichiro" uniqKey="Sato S" first="Shinichiro" last="Sato">Shinichiro Sato</name>
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<author><name sortKey="Fujihara, Mitsuhiro" sort="Fujihara, Mitsuhiro" uniqKey="Fujihara M" first="Mitsuhiro" last="Fujihara">Mitsuhiro Fujihara</name>
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<author><name sortKey="Kaneko, Sadao" sort="Kaneko, Sadao" uniqKey="Kaneko S" first="Sadao" last="Kaneko">Sadao Kaneko</name>
<affiliation><mods:affiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</mods:affiliation>
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<author><name sortKey="Yasuda, Hiroshi" sort="Yasuda, Hiroshi" uniqKey="Yasuda H" first="Hiroshi" last="Yasuda">Hiroshi Yasuda</name>
<affiliation><mods:affiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</mods:affiliation>
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<author><name sortKey="Yamamoto, Sadamitsu" sort="Yamamoto, Sadamitsu" uniqKey="Yamamoto S" first="Sadamitsu" last="Yamamoto">Sadamitsu Yamamoto</name>
<affiliation><mods:affiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</mods:affiliation>
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<author><name sortKey="Azuma, Hiroshi" sort="Azuma, Hiroshi" uniqKey="Azuma H" first="Hiroshi" last="Azuma">Hiroshi Azuma</name>
<affiliation><mods:affiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</mods:affiliation>
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<affiliation><mods:affiliation>E-mail: azuma@hokkaido.bc.jrc.or.jp</mods:affiliation>
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<author><name sortKey="Kato, Toshiaki" sort="Kato, Toshiaki" uniqKey="Kato T" first="Toshiaki" last="Kato">Toshiaki Kato</name>
<affiliation><mods:affiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</mods:affiliation>
</affiliation>
</author>
<author><name sortKey="Ikeda, Hisami" sort="Ikeda, Hisami" uniqKey="Ikeda H" first="Hisami" last="Ikeda">Hisami Ikeda</name>
<affiliation><mods:affiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</mods:affiliation>
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<series><title level="j" type="main">Transfusion</title>
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<profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Adverse effects</term>
<term>Adverse reaction</term>
<term>Adverse reactions</term>
<term>Aggregation</term>
<term>Blood center</term>
<term>Blood components</term>
<term>Blood products</term>
<term>Blood recipients</term>
<term>Blood transfusion</term>
<term>Brain surgery</term>
<term>Case report</term>
<term>Cutaneous manifestation</term>
<term>Cytometric</term>
<term>Flow cytometric analysis</term>
<term>Glycoprotein</term>
<term>Healthy adults</term>
<term>Hiroshi azuma</term>
<term>Ikeda</term>
<term>Isoantibody</term>
<term>Moab</term>
<term>Monocyte</term>
<term>Naka</term>
<term>Negative control</term>
<term>Passive transfusion</term>
<term>Plasma protein</term>
<term>Platelet</term>
<term>Platelet membrane glycoprotein</term>
<term>Plts</term>
<term>Posttransfusion</term>
<term>Posttransfusion syndrome</term>
<term>Rantes</term>
<term>Systolic blood pressure</term>
<term>Thrombocytopenia</term>
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<front><div type="abstract" xml:lang="en">BACKGROUND: Anti‐CD36 isoantibody in blood recipients is reported to cause refractoriness to platelet (PLT) transfusions and posttransfusion purpura–like syndrome. There are few reports, however, about the effects of passively transfused blood products containing this isoantibody on recipients. CASE REPORT: A 67‐year‐old Japanese woman underwent brain surgery. On the 6th postoperative day, the patient experienced tightness of the chest and nausea after receiving a transfusion of fresh frozen plasma (FFP). When she manifested hypotension, the transfusion was discontinued. No cutaneous manifestation was observed. The patient's condition gradually improved soon after the administration of steroids. RESULTS: Her pretransfusion PLT count was 17.1 × 104 per µL. It decreased to 1.9 × 104 per µL 12 hours after transfusion and recovered to 15.4 × 104 per µL 8 days after transfusion. The donor of the FFP had a Type I CD36 deficiency. Flow cytometric analysis identified anti‐CD36 isoantibody in the FFP. The cross‐match between the patient's PLTs and the FFP was positive. The FFP induced the aggregation of PLTs derived from healthy adults. CONCLUSION: This is the first reported case of life‐threatening adverse effects and thrombocytopenia caused by passively transfused anti‐CD36 isoantibody. The possibility of passive infusion of this antibody should be considered in the evaluation of life‐threatening transfusion reactions followed by thrombocytopenia.</div>
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<author><json:item><name>Katsuya Morishita</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
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<json:item><name>Shinobu Wakamoto</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
</affiliations>
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<json:item><name>Toru Miyazaki</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
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<json:item><name>Shinichiro Sato</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
</affiliations>
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<json:item><name>Mitsuhiro Fujihara</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
</affiliations>
</json:item>
<json:item><name>Sadao Kaneko</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
</affiliations>
</json:item>
<json:item><name>Hiroshi Yasuda</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
</affiliations>
</json:item>
<json:item><name>Sadamitsu Yamamoto</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
</affiliations>
</json:item>
<json:item><name>Hiroshi Azuma</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
<json:string>E-mail: azuma@hokkaido.bc.jrc.or.jp</json:string>
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<json:item><name>Toshiaki Kato</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
</affiliations>
</json:item>
<json:item><name>Hisami Ikeda</name>
<affiliations><json:string>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</json:string>
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<abstract>BACKGROUND: Anti‐CD36 isoantibody in blood recipients is reported to cause refractoriness to platelet (PLT) transfusions and posttransfusion purpura–like syndrome. There are few reports, however, about the effects of passively transfused blood products containing this isoantibody on recipients. CASE REPORT: A 67‐year‐old Japanese woman underwent brain surgery. On the 6th postoperative day, the patient experienced tightness of the chest and nausea after receiving a transfusion of fresh frozen plasma (FFP). When she manifested hypotension, the transfusion was discontinued. No cutaneous manifestation was observed. The patient's condition gradually improved soon after the administration of steroids. RESULTS: Her pretransfusion PLT count was 17.1 × 104 per µL. It decreased to 1.9 × 104 per µL 12 hours after transfusion and recovered to 15.4 × 104 per µL 8 days after transfusion. The donor of the FFP had a Type I CD36 deficiency. Flow cytometric analysis identified anti‐CD36 isoantibody in the FFP. The cross‐match between the patient's PLTs and the FFP was positive. The FFP induced the aggregation of PLTs derived from healthy adults. CONCLUSION: This is the first reported case of life‐threatening adverse effects and thrombocytopenia caused by passively transfused anti‐CD36 isoantibody. The possibility of passive infusion of this antibody should be considered in the evaluation of life‐threatening transfusion reactions followed by thrombocytopenia.</abstract>
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<profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">BACKGROUND:</hi>
Anti‐CD36 isoantibody in blood recipients is reported to cause refractoriness to platelet (PLT) transfusions and posttransfusion purpura–like syndrome. There are few reports, however, about the effects of passively transfused blood products containing this isoantibody on recipients.</p>
<p><hi rend="bold">CASE REPORT:</hi>
A 67‐year‐old Japanese woman underwent brain surgery. On the 6th postoperative day, the patient experienced tightness of the chest and nausea after receiving a transfusion of fresh frozen plasma (FFP). When she manifested hypotension, the transfusion was discontinued. No cutaneous manifestation was observed. The patient's condition gradually improved soon after the administration of steroids.</p>
<p><hi rend="bold">RESULTS:</hi>
Her pretransfusion PLT count was 17.1 × 10<hi rend="superscript">4</hi>
per µL. It decreased to 1.9 × 10<hi rend="superscript">4</hi>
per µL 12 hours after transfusion and recovered to 15.4 × 10<hi rend="superscript">4</hi>
per µL 8 days after transfusion. The donor of the FFP had a Type I CD36 deficiency. Flow cytometric analysis identified anti‐CD36 isoantibody in the FFP. The cross‐match between the patient's PLTs and the FFP was positive. The FFP induced the aggregation of PLTs derived from healthy adults.</p>
<p><hi rend="bold">CONCLUSION:</hi>
This is the first reported case of life‐threatening adverse effects and thrombocytopenia caused by passively transfused anti‐CD36 isoantibody. The possibility of passive infusion of this antibody should be considered in the evaluation of life‐threatening transfusion reactions followed by thrombocytopenia.</p>
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<correspondenceTo>Hiroshi Azuma, Hokkaido Red Cross Blood Center, Yamanote 2‐2, Nishi‐ku, Sapporo, Japan 063‐0002; e‐mail: <email>azuma@hokkaido.bc.jrc.or.jp</email>
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<titleGroup><title type="main">Life‐threatening adverse reaction followed by thrombocytopenia after passive transfusion of fresh frozen plasma containing anti‐CD36 (Nak<sup>a</sup>
) isoantibody</title>
<title type="shortAuthors">MORISHITA ET AL.</title>
<title type="short">ADVERSE REACTION BY FFP WITH ANTI‐CD36</title>
</titleGroup>
<creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Katsuya</givenNames>
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<creator creatorRole="author" xml:id="cr7" affiliationRef="#a1"><personName><givenNames>Hiroshi</givenNames>
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<creator creatorRole="author" xml:id="cr8" affiliationRef="#a1"><personName><givenNames>Sadamitsu</givenNames>
<familyName>Yamamoto</familyName>
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<creator creatorRole="author" xml:id="cr9" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Hiroshi</givenNames>
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<creator creatorRole="author" xml:id="cr10" affiliationRef="#a1"><personName><givenNames>Toshiaki</givenNames>
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<affiliationGroup><affiliation xml:id="a1" countryCode="JP"><unparsedAffiliation>From the Hokkaido Red Cross Blood Center, Sapporo; the Kashiwaba Neurosurgical Hospital, Sapporo; and the Keiwakai Ebetsu Hospital, Ebetsu, Japan.</unparsedAffiliation>
</affiliation>
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<abstractGroup><abstract type="main" xml:lang="en"><p><b>BACKGROUND:</b>
Anti‐CD36 isoantibody in blood recipients is reported to cause refractoriness to platelet (PLT) transfusions and posttransfusion purpura–like syndrome. There are few reports, however, about the effects of passively transfused blood products containing this isoantibody on recipients.</p>
<p><b>CASE REPORT:</b>
A 67‐year‐old Japanese woman underwent brain surgery. On the 6th postoperative day, the patient experienced tightness of the chest and nausea after receiving a transfusion of fresh frozen plasma (FFP). When she manifested hypotension, the transfusion was discontinued. No cutaneous manifestation was observed. The patient's condition gradually improved soon after the administration of steroids.</p>
<p><b>RESULTS:</b>
Her pretransfusion PLT count was 17.1 × 10<sup>4</sup>
per µL. It decreased to 1.9 × 10<sup>4</sup>
per µL 12 hours after transfusion and recovered to 15.4 × 10<sup>4</sup>
per µL 8 days after transfusion. The donor of the FFP had a Type I CD36 deficiency. Flow cytometric analysis identified anti‐CD36 isoantibody in the FFP. The cross‐match between the patient's PLTs and the FFP was positive. The FFP induced the aggregation of PLTs derived from healthy adults.</p>
<p><b>CONCLUSION:</b>
This is the first reported case of life‐threatening adverse effects and thrombocytopenia caused by passively transfused anti‐CD36 isoantibody. The possibility of passive infusion of this antibody should be considered in the evaluation of life‐threatening transfusion reactions followed by thrombocytopenia.</p>
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<name type="personal"><namePart type="given">Sadao</namePart>
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<name type="personal"><namePart type="given">Hiroshi</namePart>
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<name type="personal"><namePart type="given">Hiroshi</namePart>
<namePart type="family">Azuma</namePart>
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<affiliation>E-mail: azuma@hokkaido.bc.jrc.or.jp</affiliation>
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<place><placeTerm type="text">Oxford, UK and Malden, USA</placeTerm>
</place>
<dateIssued encoding="w3cdtf">2005-05</dateIssued>
<edition>Received for publication August 4, 2004; revision received October 12, 2004, and accepted October 26, 2004.</edition>
<copyrightDate encoding="w3cdtf">2005</copyrightDate>
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<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
<physicalDescription><extent unit="figures">2</extent>
<extent unit="tables">1</extent>
<extent unit="formulas">0</extent>
<extent unit="references">20</extent>
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<abstract lang="en">BACKGROUND: Anti‐CD36 isoantibody in blood recipients is reported to cause refractoriness to platelet (PLT) transfusions and posttransfusion purpura–like syndrome. There are few reports, however, about the effects of passively transfused blood products containing this isoantibody on recipients. CASE REPORT: A 67‐year‐old Japanese woman underwent brain surgery. On the 6th postoperative day, the patient experienced tightness of the chest and nausea after receiving a transfusion of fresh frozen plasma (FFP). When she manifested hypotension, the transfusion was discontinued. No cutaneous manifestation was observed. The patient's condition gradually improved soon after the administration of steroids. RESULTS: Her pretransfusion PLT count was 17.1 × 104 per µL. It decreased to 1.9 × 104 per µL 12 hours after transfusion and recovered to 15.4 × 104 per µL 8 days after transfusion. The donor of the FFP had a Type I CD36 deficiency. Flow cytometric analysis identified anti‐CD36 isoantibody in the FFP. The cross‐match between the patient's PLTs and the FFP was positive. The FFP induced the aggregation of PLTs derived from healthy adults. CONCLUSION: This is the first reported case of life‐threatening adverse effects and thrombocytopenia caused by passively transfused anti‐CD36 isoantibody. The possibility of passive infusion of this antibody should be considered in the evaluation of life‐threatening transfusion reactions followed by thrombocytopenia.</abstract>
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<identifier type="ISSN">0041-1132</identifier>
<identifier type="eISSN">1537-2995</identifier>
<identifier type="DOI">10.1111/(ISSN)1537-2995</identifier>
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