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Robert A. Vogel
Baylor College of Medicine

Marion Worthington, MB, BS
The Methodist Hospital Houston

JAMA. 1978;240(22):2432-2433.

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

To the Editor.—

The excellent article by Solanki and McCurdy (239:729, 1978) and letter by Kurtides (240:110, 1978) are deserving of our close attention, since we see more patients with a past history of blood transfusions. In our institution where we transfuse around 20,000 RBC products annually, three similar patients have come to our attention in the past three months. Renal impairment was fortunately not a problem, but the cause of the posttransfusion anemia was clinically unsuspected and was only elucidated by the blood bank technologists when further transfusions were requested. This lack of clinical suspicion was also noted by Mollison,¹ and we agree with the previous authors that these cases are being missed.

Case 1 was a 30-year-old woman with dermatomyositis and steroidinduced diabetes admitted for repair of an esophageal rupture. Anti-E had been recorded previously, and E-negative compatible blood was transfused intraoperatively and postoperatively. Six days after . . . [Full Text PDF of this Article]

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