輸血後紫斑病

英

posttransfusion purpura, post-transfusion purpura

同

シュルマン症候群 Shulman syndrome

関

輸血後合併症

• Sabiston Textbook of Surgery, 18th ed.
• Table 6-4 -- Categories and Management of Adverse Transfusion Reactions

Delayed (>24 Hours) Transfusion Reactions?Immunologic
TYPE	INCIDENCE	ETIOLOGY	MANIFESTATION	DIAGNOSTIC TESTING	THERAPEUTIC/PROPHYLACTIC APPROACH
Post-transfusion purpura	Rare	Recipient platelet antibodies (apparent alloantibody, usually anti? HPA-1) destroy autologous platelets	Thrombocytopenic purpura, bleeding 8-10 days after transfusion	Platelet antibody screen and identification	IGIV|HPA-1?negative platelets|Plasmapheresis