| Title | Severe haemolysis after an ABO unmatched kidney transplant - a nonsecretor transplanted from a donor with high anti-A titre |
| Publication Type | Journal Article |
| Year of Publication | 2000 |
| Authors | Sternberg AJ, Lee G, Croxton T, Mundy N, Morris P, Littlewood TJ, Murphy MF |
| Journal | Transfus Med |
| Volume | 10 |
| Issue | 1 |
| Pagination | 87 - 9 |
| Date Published | Mar |
| ISSN | 0958-7578 (Print) 0958-7578 (Linking) |
| Accession Number | 10760208 |
| Keywords | *Kidney Transplantation, ABO Blood-Group System / *immunology, Adult, Hemolysis / *immunology, Histocompatibility Testing, Humans, Male, Transplantation Immunology, Transplantation, Homologous |
| Abstract | A case of severe haemolysis following an ABO unmatched renal transplant is reported in a group A nonsecretor who received a kidney from a group O living related donor. Following the haemolytic episode, group A donor units were incompatible and the patient was transfused with group O blood. Serological investigation of the recipient revealed anti-A present in the serum and on the red cells. Investigation of the donor revealed the presence of high-titre anti-A. The association of such high-titre donor antibody with haemolysis in ABO unmatched grafts has not been reported before. We discuss the risk factors for developing haemolysis in an ABO unmatched organ transplant and explore the possible relevance of such high donor antibody titre to recipients who are nonsecretors. |
| DOI | |
| Notify Library Reference ID | 1465 |
