Platelet refractoriness–practical approaches and ongoing dilemmas in patient management

SJ Stanworth, C Navarrete, L Estcourt… - British journal of …, 2015 - Wiley Online Library
Platelet refractoriness can represent a significant clinical problem that complicates the
provision of platelet transfusions, is associated with adverse clinical outcomes and …

Relative importance of immune and non-immune causes of platelet refractoriness

HA Doughty, MF Murphy, P Metcalfe, AZS Rohatiner… - Vox Sanguinis, 1994 - karger.com
In this prospective study, 26 consecutive patients being treated for haematological
malignancies receiving standard (ie non-leucocyte-depleted) blood components were …

Use of leucocyte‐poor blood components and HLA‐matched‐platelet donors to prevent HLA alloimmunization

MF Murphy, P Metcalfe, H Thomas… - British journal of …, 1986 - Wiley Online Library
Recent studies have shown that the incidence of alloimmunization due to repeated platelet
transfusions from random donors may be reduced by the use of leucocyte‐poor blood …

Platelet transfusions: the problem of refractoriness

MF Murphy, AH Waters - Blood Reviews, 1990 - Elsevier
Refractoriness is a complication of multiple platelet transfusions in 30–70% of patients with
bone marrow failure. The major causes are HLA alloimmunisation and non-immune platelet …

Selection of platelets for refractory patients by HLA matching and prospective crossmatching

G Moroff, G Garratty, JM Heal, BR MacPherson… - …, 1992 - Wiley Online Library
A multi‐site clinical study compared platelets chosen for refractory patients by prospective
platelet crossmatching using stored donor platelets and HLA‐based selection. Seventy …

Platelet transfusion refractoriness caused by a mismatch in HLA‐C antigens

S Saito, S Ota, H Seshimo, Y Yamazaki, S Nomura… - …, 2002 - Wiley Online Library
BACKGROUND: HLA‐C antigens have been thought to be of little significance in
determining the efficacy of platelet transfusions. However, six alloimmunized patients were …

The platelet adhesion immunofluorescence test: a modification of the platelet suspension immunofluorescence test

W Schneider, M Schnaidt - Blut, 1981 - Springer
Platelets can adhere to surfaces by forming pseudopods. This ability is made use of here to
simplify conventional platelet suspension immunofluorescence tests, since steps like serum …

Managing the platelet refractory patient

MF Murphy - ISBT Science Series, 2014 - Wiley Online Library
Platelet refractoriness is the repeated failure to obtain satisfactory responses to platelet
transfusions. It is mainly due to shortened platelet survival associated with non‐immune …

Disappearance of HLA and platelet‐specific antibodies in acute leukaemia patients alloimmunized by multiple transfusions

MF Murphy, P Metcalfe, J Ord, TA Lister… - British journal of …, 1987 - Wiley Online Library
Alloimmunization by platelet transfusions was studied in 154 patients with acute leukaemia.
17 patients had HLA antibodies at initial presentation induced by previous transfusions or …

Successful treatment of platelet transfusion refractoriness: the use of platelet transfusions matched for both human leucocyte antigens (HLA) and human platelet …

S Kekomäki, L Volin, P Koistinen… - European journal of …, 1998 - Wiley Online Library
Six patients, 4 with acute myeloid leukaemia and 2 with a myelodysplasia syndrome who
were refractory to random donor platelet transfusions and alloimmunized to human …