Transfusion‐related alpha‐gal syndrome: Two new cases expanding the demographic and geographic spectrum, and evidence of a diagnostic gap in allergic transfusion reaction evaluation

TRAGS occurs in the tick-endemic southeastern United States across a broader demographic range than previously recognized. IgA deficiency, present in <0.3% of the population, was considered in 18% of qualifying patients while alpha-gal sensitization, affecting 20%-30% in this region, was investigated in none. Integration of AGS history into pre-transfusion risk assessment and ATR evaluation protocols is warranted.

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Publication Details

Journal
Transfusion
Published
2026-03-28
DOI
https://doi.org/10.1111/trf.70196
Primary Topic
Blood groups and transfusion
Type
article
Field-Weighted Citation Impact
0.00
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article

Transfusion‐related alpha‐gal syndrome: Two new cases expanding the demographic and geographic spectrum, and evidence of a diagnostic gap in allergic transfusion reaction evaluation

Miriam Brown, Jonathan Tucci, J. Kenneth Jacobs, Garrett S. Booth et al.
Transfusion
Blood groups and transfusion
article

Transfusion‐related alpha‐gal syndrome: Two new cases expanding the demographic and geographic spectrum, and evidence of a diagnostic gap in allergic transfusion reaction evaluation

Miriam Brown, Jonathan Tucci, J. Kenneth Jacobs, Garrett S. Booth, Kaycie Atchison, Toufik Tahiri, C. Addison Stone, Deva Sharma, Mackenzie Foster, Angela Mueller
article en

Abstract

TRAGS occurs in the tick-endemic southeastern United States across a broader demographic range than previously recognized. IgA deficiency, present in <0.3% of the population, was considered in 18% of qualifying patients while alpha-gal sensitization, affecting 20%-30% in this region, was investigated in none. Integration of AGS history into pre-transfusion risk assessment and ATR evaluation protocols is warranted.

Transfusion
Vanderbilt University Medical Center (US)
Good health and well-being
Openalex Percentile: Top 3%
Blood groups and transfusion
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