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USMLE · Question #429

A 24-year-old woman with a history of allergic rhinitis is involved in an automobile accident and sustains a splenic laceration. She undergoes abdominal surgery and is then transfused with four units

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Abnormal Processes

Question

A 24-year-old woman with a history of allergic rhinitis is involved in an automobile accident and sustains a splenic laceration. She undergoes abdominal surgery and is then transfused with four units of blood of the appropriate ABO and Rh type. As the transfusion progresses, she becomes rapidly hypotensive and develops airway edema, consistent with anaphylaxis. Which of the following pre-existing conditions best accounts for these symptoms?

Options

  • AAIDS
  • BC1 esterase inhibitor deficiency
  • CDiGeorge syndrome
  • DSelective IgA deficiency
  • EWiskott-Aldrich syndrome

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Topics

#selective IgA deficiency#transfusion anaphylaxis#anti-IgA antibodies#immunodeficiency
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