PMID- 35483919 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220512 IS - 2287-979X (Print) IS - 2288-0011 (Electronic) IS - 2287-979X (Linking) VI - 57 IP - S1 DP - 2022 Apr 30 TI - Evaluation and management of platelet transfusion refractoriness. PG - 6-10 LID - 10.5045/br.2022.2021229 [doi] AB - Platelet transfusion refractoriness (PTR), in which platelet counts do not increase after transfusion, occurs in many patients receiving platelet transfusions. PTR is a clinical condition that can harm patients. The causes of PTR can be divided into two types: immune and non-immune. Most cases of PTR are non-immune. Among immune causes, the most common is human leukocyte antigen (HLA) class I molecules. PTR caused by anti-HLA antibodies is usually managed by transfusing HLA-matched platelets. Therefore, it is important, especially for hemato-oncologists who frequently perform transfusion, to accurately diagnose whether the cause of platelet transfusion failure is alloimmune or non-immunological when determining the treatment direction for the patient. In this review, we discuss the definitions, causes, countermeasures, and prevention methods of PTR. FAU - Youk, Hee-Jeong AU - Youk HJ AD - Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Hwang, Sang-Hyun AU - Hwang SH AD - Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Oh, Heung-Bum AU - Oh HB AD - Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Ko, Dae-Hyun AU - Ko DH AD - Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. LA - eng PT - Journal Article PT - Review PL - Switzerland TA - Blood Res JT - Blood research JID - 101605247 PMC - PMC9057673 OTO - NOTNLM OT - HLA-matched OT - Human leukocyte antigen OT - Platelet count OT - Platelet transfusion OT - Platelet transfusion refractoriness COIS- Authors' Disclosures of Potential Conflicts of Interest No potential conflicts of interest relevant to this article were reported. EDAT- 2022/04/29 06:00 MHDA- 2022/04/29 06:01 PMCR- 2022/04/30 CRDT- 2022/04/28 21:42 PHST- 2021/12/29 00:00 [received] PHST- 2022/01/13 00:00 [accepted] PHST- 2022/04/28 21:42 [entrez] PHST- 2022/04/29 06:00 [pubmed] PHST- 2022/04/29 06:01 [medline] PHST- 2022/04/30 00:00 [pmc-release] AID - br.2022.2021229 [pii] AID - br-57-s1-s6 [pii] AID - 10.5045/br.2022.2021229 [doi] PST - ppublish SO - Blood Res. 2022 Apr 30;57(S1):6-10. doi: 10.5045/br.2022.2021229.