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Auto immune disease and blood transfusions

Can a blood transfusion change your immune system?  

In other words... Can you possibly contract an auto immune disease through a blood transfusion?


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2187 helpful answers

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Definitely yes.  This information is from the National Institutes of Health:

What Are the Risks of a Blood Transfusion?

Most blood transfusions go very smoothly. However, mild problems and, very rarely, serious problems can occur.

Allergic Reactions

Some people have allergic reactions to the blood given during transfusions. This can happen even when the blood given is the right blood type.

Allergic reactions can be mild or severe. Symptoms can include:

  • Anxiety
  • Chest and/or back pain
  • Trouble breathing
  • Fever, chills, flushing, and clammy skin
  • A quick pulse or low blood pressure
  • Nausea (feeling sick to the stomach)

A nurse or doctor will stop the transfusion at the first signs of an allergic reaction. The health care team determines how mild or severe the reaction is, what treatments are needed, and whether the transfusion can safely be restarted.

Viruses and Infectious Diseases

Some infectious agents, such as HIV, can survive in blood and infect the person receiving the blood transfusion. To keep blood safe, blood banks carefully screen donated blood.

The risk of catching a virus from a blood transfusion is very low.

  • HIV. Your risk of getting HIV from a blood transfusion is lower than your risk of getting killed by lightning. Only about 1 in 2 million donations might carry HIV and transmit HIV if given to a patient.
  • Hepatitis B and C. The risk of having a donation that carries hepatitis B is about 1 in 205,000. The risk for hepatitis C is 1 in 2 million. If you receive blood during a transfusion that contains hepatitis, you'll likely develop the virus.
  • Variant Creutzfeldt-Jakob disease (vCJD). This disease is the human version of Mad Cow Disease. It's a very rare, yet fatal brain disorder. There is a possible risk of getting vCJD from a blood transfusion, although the risk is very low. Because of this, people who may have been exposed to vCJD aren't eligible blood donors.
Fever

You may get a sudden fever during or within a day of your blood transfusion. This is usually your body's normal response to white blood cells in the donated blood. Over-the-counter fever medicine usually will treat the fever.

Some blood banks remove white blood cells from whole blood or different parts of the blood. This makes it less likely that you will have a reaction after the transfusion.

Iron Overload

Getting many blood transfusions can cause too much iron to build up in your blood (iron overload). People who have a blood disorder like thalassemia , which requires multiple transfusions, are at risk for iron overload. Iron overload can damage your liver, heart, and other parts of your body.

If you have iron overload, you may need iron chelation (ke-LAY-shun) therapy. For this therapy, medicine is given through an injection or as a pill to remove the extra iron from your body.

Lung Injury

Although it's unlikely, blood transfusions can damage your lungs, making it hard to breathe. This usually occurs within about 6 hours of the procedure.

Most patients recover. However, 5 to 25 percent of patients who develop lung injuries die from the injuries. These people usually were very ill before the transfusion.

Doctors aren't completely sure why blood transfusions damage the lungs. Antibodies (proteins) that are more likely to be found in the plasma of women who have been pregnant may disrupt the normal way that lung cells work. Because of this risk, hospitals are starting to use men's and women's plasma differently.

Acute Immune Hemolytic Reaction

Acute immune hemolytic reaction is very serious, but also very rare. It occurs if the blood type you get during a transfusion doesn't match or work with your blood type. Your body attacks the new red blood cells, which then produce substances that harm your kidneys.

The symptoms include chills, fever, nausea, pain in the chest or back, and dark urine. The doctor will stop the transfusion at the first sign of this reaction.

Delayed Hemolytic Reaction

This is a much slower version of acute immune hemolytic reaction. Your body destroys red blood cells so slowly that the problem can go unnoticed until your red blood cell level is very low.

Both acute and delayed hemolytic reactions are most common in patients who have had a previous transfusion.

Graft-Versus-Host Disease

Graft-versus-host disease (GVHD) is a condition in which white blood cells in the new blood attack your tissues. GVHD usually is fatal. People who have weakened immune systems are the most likely to get GVHD.

Symptoms start within a month of the blood transfusion. They include fever, rash, and diarrhea. To protect against GVHD, people who have weakened immune systems should receive blood that has been treated so the white blood cells can't cause GVHD.

 

http://www.nhlbi.nih.gov/health/dci/Diseases/bt/bt_all.html

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274 helpful answers

I recently went to a new doctor and noticed he was located in something called the Professional Building. I felt better right away.

That was a great answer from PB. I just wanted to add the following about the famous tennis star Arthur Ashe: Ashe, who said he believed he became infected with HIV through a transfusion of contaminated blood during his second round of heart-bypass surgery in 1983, first learned of his infection after he entered New York Hospital for emergency brain surgery in September 1988. The surgery and a biopsy revealed the presence of toxoplasmosis, a parasitic AIDS-related condition.

Posted 2009-09-06T10:05:17Z
lavlav was invited by Yedda to answer this question.

 
4 helpful answers

I am a firm beliver to live and let live a lot of people are into judging people who are different from themselves, like being gay, being over weight, people judge other people from outward apperance, when all that matters is what's in youe heart, my favorite saying is "Let him who is without sin cast the first stone" It is only God's right to judge everyone not ours. thanks Rita60

Normsgrl's, I have auto-immune problems, sclerderma, fibromylgia,3 kinds of neuropathy, all I know is that the Red Cross told me I should not give blood, I am also anemic , so it would not be a very good thing to give blood anyway, I wish you all the blessings because I know what it is like living with these diseases, not fun, a lot of pain, God Bless You.    Rita60

Posted 2009-09-06T18:23:03Z
rita60 was invited by Yedda to answer this question.

 
4 helpful answers

I am a firm beliver to live and let live a lot of people are into judging people who are different from themselves, like being gay, being over weight, people judge other people from outward apperance, when all that matters is what's in youe heart, my favorite saying is "Let him who is without sin cast the first stone" It is only God's right to judge everyone not ours. thanks Rita60

health, realationships, ecomony,animals

Posted 2009-09-06T18:24:47Z
rita60 was invited by Yedda to answer this question.

 
6 helpful answers

"... build on the awareness of ever-present substance and expand your faith in the stability of your own inner wholeness...".  Eric Butterworth - Spiritual Economics

Anything and everything is possible... G

Posted 2009-09-10T05:50:47Z
Gravyee was invited by Yedda to answer this question.

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