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Journal of the American Society of Nephrology, Vol 4, 1122-1126, Copyright © 1993 by American Society of Nephrology

REGULAR ARTICLES

Immune hemolytic anemia after renal transplantation secondary to ABO- minor-mismatch between the donor and recipient

JR Gregoire
Division of Nephrology, Mayo Clinic, Rochester, MN 55905.

A 52-yr-old man developed immune hemolytic anemia approximately 2 wk after receiving an ABO-minor-mismatch renal transplant. When a Group O organ is transplanted into a non-O recipient or a non-AB organ is transplanted into a Group AB recipient, hemolysis can occur and has been attributed to a form of graft-versus-host disease in which donor plasma cells carried along with the graft produce red blood cell antibodies. In this case, the diagnosis was confirmed when an antibody screen indicated that the organ recipient's serum agglutinated panel red blood cells of the recipient's ABO group. This type of hemolysis usually occurs 1 to 2 wk after transplantation, is limited in duration, and can be severe. If transfusion is required, blood of donor type should be used.


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K. A. West, D. R. Anderson, V. C. McAlister, T. J.C. Hewlett, P. Belitsky, J. W. Smith, and J. G. Kelton
Alloimmune Thrombocytopenia after Organ Transplantation
N. Engl. J. Med., November 11, 1999; 341(20): 1504 - 1507.
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