Post-transfusion purpura associated with alloimmunization against the platelet-specific antigen, Baka.

Abstract:

:Post-transfusion purpura (PTP) with severe thrombocytopenia occurred eight days after transfusion in a 28-year-old woman and responded to treatment with prednisone and plasma exchange. In contrast to nearly all previously studied cases of PTP, the patient's platelets were PlA1-positive and anti-PlA1 antibody could not be detected in serum obtained during the thrombocytopenic episode. Her serum was found to contain an antibody specific for a recently described platelet-specific alloantigen, Baka, in addition to multiple HLA-specific antibodies. The patient's platelets, typed following recovery, were Baka-negative. These findings indicate that post-transfusion purpura can occur in association with alloimmunization to platelet-specific antigens other than PlA1. In performing the serologic studies, a close relationship and possible identity between Baka and another recently reported platelet antigen, Leka, was observed. A method for analyzing mixtures of cytotoxic platelet-reactive antibodies without separating the individual antibodies is described.

journal_name

Am J Hematol

authors

Keimowitz RM,Collins J,Davis K,Aster RH

doi

10.1002/ajh.2830210110

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

79-88

issue

1

eissn

0361-8609

issn

1096-8652

journal_volume

21

pub_type

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