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  Vol. 288 No. 3, July 17, 2002 TABLE OF CONTENTS
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Transfusion-Related Acute Lung Injury

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: In their look-back investigation, Dr Kopko and colleagues1 reported that 36% of patients who received transfusions from a frequent plasma donor had reactions consistent with transfusion-related acute lung injury (TRALI). They also found that the donor had an anti-5b, a granulocyte-specific alloantibody, which has been associated with TRALI in both humans and in animal models.2-3

I performed a similar clinical look-back investigation of a frequent apheresis platelet and plasma donor. The donor was a gravida 3, para 3 woman, who had donated a total of 16 apheresis platelet concentrates and 4 units of fresh frozen plasma over a 3-year period. Of 20 recipients, a transfusion reaction was identified in 3 patients. All 3 had evidence of respiratory involvement, manifested by coughing, wheezing, labored breathing, tachypnea, and oxygen desaturation. Two patients also had radiographic evidence of bilateral pulmonary infiltrates. One patient required a short course of mechanical ventilation. . . . [Full Text of this Article]



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