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An Allergic Transfusion Reaction is a relatively common complication of blood transfusion caused by
an immune response to plasma proteins or other allergens present in the donated
blood component. It typically develops during the transfusion or within a short
period afterward. Symptoms may include itching, urticaria, flushing,
skin rash, and mild swelling. In more severe cases, patients can develop
breathing difficulty, wheezing, low blood pressure, or anaphylaxis, which
requires immediate emergency treatment.
When an allergic reaction is
suspected, the transfusion should be stopped and the patient assessed promptly.
Vital signs should be monitored, and the clinical team must distinguish
an allergic reaction from other potentially serious transfusion
reactions. Mild symptoms are commonly managed with antihistamines
according to clinical guidance. Severe reactions, particularly anaphylaxis,
require urgent treatment with appropriate emergency medications and supportive
care.
Patients who experience recurrent
allergic transfusion reactions may require additional preventive measures.
These can include carefully selected blood components, washed cellular
products, or other modifications based on the underlying cause and clinical
history.
Most allergic transfusion reactions are mild and resolve without complications. However, prompt recognition is important because severe reactions can progress rapidly. Appropriate investigation and preventive strategies can reduce the risk of recurrence during future transfusions.