Spontaneous resolution of transfusion‐associated graft‐versus‐host disease

S. Mori, K. Ozaki, A. Ishida, M. Tokuhira, H. Nakajima, M. Kizaki, H. Sugiura, A. Kikuchi, M. Handa, Y. Kawai, S. Yamamori, Y. Ikeda

研究成果: Article査読

24 被引用数 (Scopus)

抄録

BACKGROUND: Transfusion‐associated graft‐versus‐host disease (TA‐GVHD) is a serious complication of blood transfusion that is characterized by high fever, a scaly maculopapular erythematous rash, diarrhea, hepatocellular damage with marked elevation of liver function test values, and pancytopenia. It can occur in immunocompetent as well as immunocompromised recipients. The existence of atypical TA‐GVHD that resolves spontaneously and does not exhibit all of the manifestations has been suggested, but there has been to date no documented diagnosis of GVHD supported by evidence of engraftment. CASE REPORT: A female patient presented and was diagnosed with acute myelogenous leukemia (AML:M4), and, after unsuccessful combination chemotherapy, she received a transfusion and developed manifestation of TA‐GVHD as well as evidence of chimerism. TA‐GVHD was proved by demonstrating Y chromosome‐specific genes in the skin by polymerase chain reaction. The manifestations of clinical GVHD abated within 4 months. CONCLUSION: Polymerase chain reaction analysis of Y chromosomes in specimens from female patients is useful in the diagnosis of suspected cases of spontaneously resolving TA‐GVHD. 1995 AABB

本文言語English
ページ(範囲)431-435
ページ数5
ジャーナルTransfusion
35
5
DOI
出版ステータスPublished - 1995 5

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Hematology

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