Pathophysiology of Hemolytic Transfusion Reactions
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2019, Seminars in PerinatologyCitation Excerpt :In cases of multiple antibodies, unexpected incompatibility can occur and result in acute hemolytic reactions. Acute hemolytic reactions usually occur during or within 24 h of blood transfusion and clinically present with fever, chills, hypotension, hemoglobinuria, renal failure, back pain, and signs of DIC.28 In the most severe form the recipient can have hyper-hemolysis syndrome where both donor and recipient blood cells are destroyed.
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2016, Transfusion and Apheresis ScienceCitation Excerpt :The characteristic composition of RBC-derived EVs in numerous complement components and IgGs suggests a strong proinflammatory potential and transfusion-related immune modulation [40,46,95]. The complement system is the underlying cause of many adverse effects of blood transfusion including hemolytic reaction [96], anaphylactic reaction [97], and transfusion related acute lung injury (TRALI). The RBC EVs-bound IgG and complement components can activate neutrophils via Fc receptors, as a piece of the pathogenesis of TRALI [98].