Pulmonary Capillary Leak
Also written as TRALI.
Transfusion‑related acute lung injury (TRALI) → donor anti‑HLA/HNA antibodies + recipient neutrophil activation → pulmonary capillary leak → non‑cardiogenic pulmonary edema.
What our notes say
- Transfusion‑related acute lung injury (TRALI) → donor anti‑HLA/HNA antibodies + recipient neutrophil activation → pulmonary capillary leak → non‑cardiogenic pulmonary edema. (Blood transfusion and reactions)
- | Respiratory | *Shortness of breath, cough, wheeze, or chest tightness?* | Pulmonary capillary leak (TRALI), bronchospasm (anaphylaxis), fluid overload. | (Blood transfusion and reactions)
- TRALI — donor antibodies react with recipient leukocyte antigens, causing pulmonary capillary leak (Medical MCQs: Chemical Pathology & Haematology Exam Review)
- Mechanism: donor anti-leukocyte antibodies react with recipient WBCs → pulmonary capillary leak (Renal, Liver, Cardiac & Adrenal Function Tests for Year 3)