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- R L Rogers, T A Javed, R E Ross, G Virella, R K Stuart, and D Frei-Lahr.
- Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston 29425, USA.
- Am. J. Hematol. 1998 Apr 1;57(4):326-30.
AbstractA patient with multiple myeloma was noted to have an IgA deficiency during investigation of a possible transfusion reaction due to IgA deficiency and anti-IgA. Because of the patient's age, otherwise good health, and early stage of disease, he was enrolled in a research treatment protocol that involved an allogeneic bone marrow transplant (BMT). The BMT successfully put the patient in complete remission from his multiple myeloma and corrected his IgA deficiency. Class-specific IgG anti-IgA antibody that had been identified prior to BMT was no longer detectable in his plasma. Anaphylactic transfusion reactions were successfully avoided by using a combination of IgA-deficient and washed blood components including the marrow graft, and IgA-reduced intravenous immunoglobulin.
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