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Red blood cell alloimmunization in 184 patients with myeloid neoplasms treated with azacitidine - A retrospective single center experience.
Leisch, M; Weiss, L; Lindlbauer, N; Jungbauer, C; Egle, A; Rohde, E; Greil, R; Grabmer, C; Pleyer, L;
Leuk Res. 2017; 59:12-19
Originalarbeiten (Zeitschrift)


Egle Alexander
Grabmer Christoph
Greil Richard
Jungbauer Christof
Leisch Michael
Pleyer Lisa
Rohde Eva
Weiss Lukas


Alloimmunization to Red Blood Cell (RBC) antigens frequently occurs in patients with myeloid neoplasms (AML, MDS and CMML) and potentially poses the patient at risk for delayed hemolytic transfusion reactions and limited supply of compatible RBC-units. However, there is comparatively little data on transfusion associated characteristics in this patient cohort. We therefore retrospectively analyzed transfusion requirements and clinical outcomes of 184 patients with myloid neoplasms treated with azacitidine at the Paracelsus Medical University Salzburg, which were included in the Austrian Registry of Hypomethylating Agents. The mean blood component requirements for AML, MDS and CMML were 39.8, 67.4 and 31.4 RBC units and 31.7, 27.6 and 19.1 platelet (PLT) units respectively. In spite of an extended and stringent RBC unit matching policy (ABO, RhD, RhCcEe and K antigens), 20 (11%) patients formed at least one alloantibody ("allo-group"), whereas 164 patients (89%) did not ("non-allo-group"). The most frequent antibody specificity was anti-E, followed by anti-Wra -Lua, -D, -C and -Jka. Alloimmunization was associated with higher numbers of transfused RBC units (68 vs. 38; p=0.001), as well as with longer time under transfusion (16.7 vs. 9.4 months; p=0.014). Median overall survival (OS) did not differ significantly between the "allo"- and "non-allo-group".

Useful keywords (using NLM MeSH Indexing)



Antimetabolites, Antineoplastic/therapeutic use

Azacitidine/therapeutic use

Erythrocyte Transfusion/adverse effects

Erythrocyte Transfusion/methods





Leukemia, Myelogenous, Chronic, BCR-ABL Positive/complications

Leukemia, Myelogenous, Chronic, BCR-ABL Positive/mortality

Leukemia, Myelogenous, Chronic, BCR-ABL Positive/therapy

Leukemia, Myeloid, Acute/complications

Leukemia, Myeloid, Acute/mortality

Leukemia, Myeloid, Acute/therapy


Middle Aged

Myelodysplastic Syndromes/complications

Myelodysplastic Syndromes/mortality

Myelodysplastic Syndromes/therapy*

Retrospective Studies

Survival Rate

Transfusion Reaction/etiology

Find related publications in this database (Keywords)

Myelodysplastic syndrome chronic
myelomonocytic leukemia
Acute myeloid leukemia
Red blood cell transfusion