Immune-mediated hemolytic anemia in children after liver and small bowel transplantation
โ 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
- DOI
- 10.1002/lt.22311
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โฆ 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.
๐ SIMILAR VOLUMES
Children who have undergone liver transplantation may develop chronic diarrhea for a number of reasons. Three children who underwent liver transplantation for liver failure, all of whom had had previous biliary and intestinal surgeries and whose postoperative course was marked by signs and symptoms