PMID- 6603182 OWN - NLM STAT- MEDLINE DCOM- 19830811 LR - 20171116 IS - 0003-0805 (Print) IS - 0003-0805 (Linking) VI - 128 IP - 1 DP - 1983 Jul TI - Transfusion-related acute lung injury associated with passive transfer of antileukocyte antibodies. PG - 185-9 AB - Acute lung injury (ALI) is an infrequently recognized complication of transfusion therapy. Although the role of passive transfer of leukoagglutinating antibodies has been acknowledged, there is little documentation of the relationship of these antibodies in transfused blood to the human leukocyte antigen (HLA) phenotype of the recipient. Recently, we observed 5 cases of transfusion-related ALI, and in all cases leukoagglutinating and lymphocytotoxic antibodies were found in serums of the transfused blood products. In 3 cases, the antibodies corresponded to the HLA antigens of the recipient. Multiparous blood donors whose plasma contains these antibodies represent a potential transfusion hazard. It is recommended that blood component usage from donors implicated in these reactions be restricted to frozen or washed red blood cells. The incidence of leukoagglutinin-associated ALI may be more frequent than previously appreciated. Current concepts of the mechanism of microvascular pulmonary injury are discussed in relation to these cases. FAU - Popovsky, M A AU - Popovsky MA FAU - Abel, M D AU - Abel MD FAU - Moore, S B AU - Moore SB LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am Rev Respir Dis JT - The American review of respiratory disease JID - 0370523 RN - 0 (Agglutinins) RN - 0 (Antibodies) RN - 0 (HLA Antigens) RN - 0 (Proteins) RN - 0 (leukoagglutinins, leukocytes) SB - IM MH - Acute Disease MH - Adult MH - Aged MH - Agglutinins/analysis MH - Antibodies/analysis MH - Antibody Specificity MH - Female MH - HLA Antigens/immunology MH - Humans MH - Immunization, Passive/*adverse effects MH - Leukocytes/*immunology MH - Male MH - Middle Aged MH - Proteins MH - Pulmonary Edema/*etiology/immunology MH - T-Lymphocytes, Cytotoxic/immunology MH - *Transfusion Reaction EDAT- 1983/07/01 00:00 MHDA- 1983/07/01 00:01 CRDT- 1983/07/01 00:00 PHST- 1983/07/01 00:00 [pubmed] PHST- 1983/07/01 00:01 [medline] PHST- 1983/07/01 00:00 [entrez] AID - 10.1164/arrd.1983.128.1.185 [doi] PST - ppublish SO - Am Rev Respir Dis. 1983 Jul;128(1):185-9. doi: 10.1164/arrd.1983.128.1.185.