Abstract
Transfusion-related acute lung injury (TRALI) is defined as a new episode of acute lung injury (ALI) occurring during transfusion or within 6 hours of transfusion completion. A 66-year-old man suffering from acute myeloid leukemia developed acute respiratory distress syndrome after platelet transfusion. TRALI was diagnosed clinically, but an autopsy showed leukemic cells in diffuse pulmonary edema. Anti-human neutrophil antigen (HNA)-3a antibodies were detected in the donor serum, and the HNA-3 genotype of the patient was identified as a/a. This case was considered to represent pulmonary involvement of acute myeloid leukemia, rather than TRALI. A revision of the definition of TRALI accounting for hematological malignancies should therefore be considered.
Original language | English |
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Pages (from-to) | 2493-2496 |
Number of pages | 4 |
Journal | Internal Medicine |
Volume | 56 |
Issue number | 18 |
DOIs | |
Publication status | Published - 2017 |
Externally published | Yes |
Keywords
- Acute myeloid leukemia
- Autopsy
- Transfusion-related acute lung injury
ASJC Scopus subject areas
- Internal Medicine