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Immune-mediated hemolytic anemia in children after liver and small bowel transplantation

โœ Scribed by Piotr Czubkowski; Mike Williams; Seema Bagia; Deirdre Kelly; Girish Gupte


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
188 KB
Volume
17
Category
Article
ISSN
1527-6465

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โœฆ Synopsis


Four children who underwent ABO-compatible combined liver and small bowel transplantation developed severe immunemediated hemolytic anemia. The main management strategies were early and aggressive treatment with steroids, the introduction of rituximab (an anti-CD20 monoclonal antibody), and the use of plasma exchange together with compatible but minimal blood transfusions. Three of the 4 children developed thrombi in the major vessels. In small bowel transplant patients, the early recognition of hemolytic anemia and intensified management with anticoagulation are necessary for the prevention of this complication.


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