Transfusion associated graft‐versus‐host disease after cardiac surgery: response to antithymocyte‐globulin and corticosteroid therapy

M. Prince, J. Szer, M. B. van der Weyden, J. S. Pedersen, R. F. Holdsworth, G. Whyte

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Abstract

A 63‐year‐old patient developed graft‐versus‐host disease (GVHD) after the transfusion of stored, random donor red cell concentrates with coronary artery surgery. The disease was characterised by skin rash, fever, diarrhoea, hepatic dysfunction, pancytopenia and the acquisition of cells bearing human leukocyte antigens of a blood donor. Clinical and histologic improvements were noted with antithymocyte‐globulin and corticosteroid therapy, as seen in some patients with acute GVHD following allogeneic bone marrow transplantation, but the pancytopenia failed to resolve prior to a fatal cerebral haemorrhage. Early aggressive immunosuppressive therapy may be beneficial for transfusion‐associated GVHD but strategies for its prevention, by limitation of the use of homologous blood need to be addressed.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalAustralian and New Zealand Journal of Medicine
Volume21
DOIs
Publication statusPublished - 1 Jan 1991
Externally publishedYes

Keywords

  • Graft‐versus‐host disease
  • GVHD
  • transfusion

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