PMID- 22169381 OWN - NLM STAT- MEDLINE DCOM- 20120622 LR - 20120228 IS - 1473-0502 (Print) IS - 1473-0502 (Linking) VI - 46 IP - 1 DP - 2012 Feb TI - Hemolysis upon intravenous immunoglobulin transfusion. PG - 93-6 LID - 10.1016/j.transci.2011.11.004 [doi] AB - Intravenous immunoglobulin (IVIG) is a mainstay of therapy in many disorders. An uncommon adverse side effect is IVIG-related hemolysis. Risk factors for IVIG-related hemolysis have been identified, including high dose IVIG given to non-O blood group recipients with an underlying inflammatory state. IVIG-related hemolysis has been linked to anti-A and anti-B hemagglutinins in the IVIG preparations and may involve both IgG and complement mediated hemolysis. A two-hit mechanism with threshold effect is proposed for IVIG-related hemolysis. Strategies exist to minimize or avoid IVIG-related hemolysis. CI - Copyright A(c) 2011 Elsevier Ltd. All rights reserved. FAU - Padmore, Ruth F AU - Padmore RF AD - The Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, ON, Canada K1H 8L6. rpadmore@ottawahospital.on.ca LA - eng PT - Journal Article PT - Review DEP - 20111213 PL - England TA - Transfus Apher Sci JT - Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis JID - 101095653 RN - 0 (Hemagglutinins) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Immunologic Factors) RN - 9007-36-7 (Complement System Proteins) MH - Complement System Proteins/immunology/metabolism MH - Hemagglutinins/blood/immunology MH - Hemolysis/*drug effects MH - Humans MH - Immunoglobulin G/blood/immunology MH - Immunoglobulins, Intravenous/*adverse effects/therapeutic use MH - Immunologic Factors/*adverse effects/therapeutic use MH - Risk Factors EDAT- 2011/12/16 06:00 MHDA- 2012/06/23 06:00 CRDT- 2011/12/16 06:00 PHST- 2011/06/30 00:00 [received] PHST- 2011/11/16 00:00 [accepted] PHST- 2011/12/16 06:00 [entrez] PHST- 2011/12/16 06:00 [pubmed] PHST- 2012/06/23 06:00 [medline] AID - S1473-0502(11)00209-6 [pii] AID - 10.1016/j.transci.2011.11.004 [doi] PST - ppublish SO - Transfus Apher Sci. 2012 Feb;46(1):93-6. doi: 10.1016/j.transci.2011.11.004. Epub 2011 Dec 13.