Anti-HPA-1b Mediated Posttransfusion Purpura: A Case Report

Posttransfusion purpura (PTP) is an uncommon, but potentially fatal, transfusion reaction characterized by profound thrombocytopenia and bleeding. PTP is caused by alloimmunization to human platelet specific antigens following blood component transfusion. Although there is evidence of a wide serolog...

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Main Authors: O. P. Arewa, S. Nahirniak, G. Clarke
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/568364
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author O. P. Arewa
S. Nahirniak
G. Clarke
author_facet O. P. Arewa
S. Nahirniak
G. Clarke
author_sort O. P. Arewa
collection DOAJ
description Posttransfusion purpura (PTP) is an uncommon, but potentially fatal, transfusion reaction characterized by profound thrombocytopenia and bleeding. PTP is caused by alloimmunization to human platelet specific antigens following blood component transfusion. Although there is evidence of a wide serological spectrum of culprit antibodies implicated, Anti-human-platelet-antigen- (HPA-) 1a is the most common antibody in cases reported. We report a case of posttransfusion purpura in an African American. The patient was negative for HPA-1a antibodies, but anti-HPA-1b was identified with a platelet phenotype of HPA-1a/HPA-1a. Although less common, HPA-1b antibody may be an important consideration in posttransfusion purpura diagnosed in patients of African descent.
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spelling doaj-art-41fac32d170c44f0bb4ad7d78c3afb4c2025-02-03T01:09:43ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/568364568364Anti-HPA-1b Mediated Posttransfusion Purpura: A Case ReportO. P. Arewa0S. Nahirniak1G. Clarke2Department of Laboratory Medicine & Blood Bank, Arar Central Hospital, Arar, Saudi ArabiaDepartment of Laboratory Medicine & Pathology, University of Alberta Hospital, Edmonton, AB, CanadaDepartment of Laboratory Medicine & Pathology, University of Alberta Hospital, Edmonton, AB, CanadaPosttransfusion purpura (PTP) is an uncommon, but potentially fatal, transfusion reaction characterized by profound thrombocytopenia and bleeding. PTP is caused by alloimmunization to human platelet specific antigens following blood component transfusion. Although there is evidence of a wide serological spectrum of culprit antibodies implicated, Anti-human-platelet-antigen- (HPA-) 1a is the most common antibody in cases reported. We report a case of posttransfusion purpura in an African American. The patient was negative for HPA-1a antibodies, but anti-HPA-1b was identified with a platelet phenotype of HPA-1a/HPA-1a. Although less common, HPA-1b antibody may be an important consideration in posttransfusion purpura diagnosed in patients of African descent.http://dx.doi.org/10.1155/2013/568364
spellingShingle O. P. Arewa
S. Nahirniak
G. Clarke
Anti-HPA-1b Mediated Posttransfusion Purpura: A Case Report
Case Reports in Medicine
title Anti-HPA-1b Mediated Posttransfusion Purpura: A Case Report
title_full Anti-HPA-1b Mediated Posttransfusion Purpura: A Case Report
title_fullStr Anti-HPA-1b Mediated Posttransfusion Purpura: A Case Report
title_full_unstemmed Anti-HPA-1b Mediated Posttransfusion Purpura: A Case Report
title_short Anti-HPA-1b Mediated Posttransfusion Purpura: A Case Report
title_sort anti hpa 1b mediated posttransfusion purpura a case report
url http://dx.doi.org/10.1155/2013/568364
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