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Article

Donor origin Rh antibodies as a cause of significant hemolysis following ABO-identical orthotopic liver transplantation

A group A, D-positive patient underwent orthotopic liver transplantation from a group A, D-negative (cde/cde) donor. Anti-D and -E were eluted from the recipient’s red cells and were found in the recipient’s serum 13 days later, at which time significant hemolysis developed. These Rh antibodies appear to he secondary to passive transfer of sensitized donor lymphocytes, a rare finding following liver transplantation.

Brian K. Kim, Carolyn F. Whitset, Christopher D. Hillyer

Immunohematology , ISSUE 4, 100–101

Article

Immune hemolytic anemia following heart-lung transplantation

Immune hemolytic anemia due to minor ABO incompatibility between recipient and donor is a well-recognized occurrence in kidney and liver transplantation. In some cases, the responsible antibodies have been shown to be derived from the donor passenger lymphocytes using Gm allotyping. We report a case of acute, transient hemolysis following heart-lung transplantation in which serologic and Gm allotype studies confirmed the etiology of hemolysis.

EIizabeth J. Perlman, Rosetta S. Shirey, Mary Farkosh, Thomas S. Kickler, Paul M. Ness

Immunohematology , ISSUE 2, 38–40

Review Article

Clinical applications of spleen ultrasound elastography – a review

scoring system. In patients infected with hepatitis B virus or hepatitis C virus, spleen stiffness increases even when liver elasticity remains unaltered. Furthermore, it is useful in diagnosing portal hypertension or predicting existence of esophageal varices. Moreover, in patients suffering from biliary atresia after Kasai portoenterostomy, spleen sonoelastography may be helpful in selecting patients for liver transplantation as well as for choosing the best strategy for portal vein reconstruction

Rafał Mazur, Milena Celmer, Jurand Silicki, Daniel Hołownia, Patryk Pozowski, Krzysztof Międzybrodzki

Journal of Ultrasonography , ISSUE 72, 37–41

Review

Standards of the Polish Ultrasound Society. Ultrasound examination of the portal system and hepatic vessels

Robert Lechowicz, Michał Elwertowski

Journal of Ultrasonography , ISSUE 61, 208–226

Article

A comprehensive IgA service provided by a blood transfusion center

. By screening new donors and directed call-up, group O, D– red blood cell (RBC) units are always in stock. During 1 year, the center supplied 79 units of RBCs and 64 units of fresh frozen plasma to a variety of patients with IgA deficiency, including three undergoing liver transplantation. The center also provides a reference service for IgA/anti-IgA status. The technique used (hemagglutination inhibition) has a sensitivity well below the threshold of standard quantitation methods. Samples

R. Munks, J.R. Booth, R.J. Sokol

Immunohematology , ISSUE 4, 155–160

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