PMID- 36028153 OWN - NLM STAT- MEDLINE DCOM- 20230206 LR - 20230206 IS - 1953-8022 (Electronic) IS - 1246-7820 (Linking) VI - 30 IP - 1 DP - 2023 Feb TI - Don't neglect the rare adverse event with intravenous immunoglobulin: Hemolytic anemia. PG - 11-15 LID - S1246-7820(22)00237-3 [pii] LID - 10.1016/j.tracli.2022.08.144 [doi] AB - Intravenous immunoglobulin (IVIG) associated hemolytic anemia is an under-recognized complication of IVIG therapy. The incidence of this adverse event is not clear. Patients at high risk for IVIG-associated hemolytic anemia include non-O blood group recipients and those undergoing high-dose administration for inflammatory or autoimmune disorders. Here, two different cases of IVIG-associated hemolytic anemia are demonstrated. The first patient, a 66 year-old male with Guillain-Barre syndrome, had a severe attack for which erythrocyte replacement was required. Mild hemolysis was detected during IVIG administration in the second patient, a 57 year-old female with chronic immune thrombocytopenic purpura. Following IVIG termination, the hemolysis diminished gradually. Although it is rare and often manageable, clinicians should be aware of and monitor patients for hemolytic anemia following IVIG therapy. CI - Copyright (c) 2022 Societe francaise de transfusion sanguine (SFTS). Published by Elsevier Masson SAS. All rights reserved. FAU - Ucar, Ismail AU - Ucar I AD - Mersin City Hospital, Department of Rhemautology, Turkey. FAU - Koyuncu, Mahmut Bakir AU - Koyuncu MB AD - Adana City Hospital, Department of Hematology, Turkey. FAU - Solmaz, Ali Alper AU - Solmaz AA AD - Mersin City Hospital, Department of Internal Medicine, Turkey. FAU - Ugurludogan, Adil Can AU - Ugurludogan AC AD - Mersin City Hospital, Department of Hematology, Turkey. FAU - Mercan, Seda AU - Mercan S AD - Mersin City Hospital, Blood Bank, Turkey. FAU - Kucuk, Mehmet AU - Kucuk M AD - Mersin City Hospital, Blood Bank, Turkey. FAU - Unal, Tufan AU - Unal T AD - Mersin City Hospital, Blood Bank, Turkey. FAU - Mazman, Semir AU - Mazman S AD - Mersin City Hospital, Department of Neurology, Turkey. FAU - Atilla, Erden AU - Atilla E AD - Mersin City Hospital, Department of Hematology, Turkey. Electronic address: erdenatilla@gmail.com. LA - eng PT - Case Reports PT - Journal Article DEP - 20220823 PL - France TA - Transfus Clin Biol JT - Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine JID - 9423846 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Male MH - Female MH - Humans MH - Middle Aged MH - Aged MH - *Immunoglobulins, Intravenous/adverse effects MH - Hemolysis MH - *Anemia, Hemolytic/chemically induced OTO - NOTNLM OT - Anti-A antibody OT - Anti-B antibody OT - Hemolytic anemia OT - Intravenous immunoglobulin COIS- Conflict of Interest The authors declare no conflict of interest EDAT- 2022/08/27 06:00 MHDA- 2023/02/07 06:00 CRDT- 2022/08/26 19:26 PHST- 2022/02/21 00:00 [received] PHST- 2022/08/18 00:00 [revised] PHST- 2022/08/19 00:00 [accepted] PHST- 2022/08/27 06:00 [pubmed] PHST- 2023/02/07 06:00 [medline] PHST- 2022/08/26 19:26 [entrez] AID - S1246-7820(22)00237-3 [pii] AID - 10.1016/j.tracli.2022.08.144 [doi] PST - ppublish SO - Transfus Clin Biol. 2023 Feb;30(1):11-15. doi: 10.1016/j.tracli.2022.08.144. Epub 2022 Aug 23.