{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:48:12Z","timestamp":1782442092269,"version":"3.54.5"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Post\u2010transfusion purpura (PTP) is a rare, often undiagnosed, complication associated with transfusion. It is caused by alloimmunization against platelet antigens, which leads to severe acute thrombocytopenia after the transfusion of any product containing platelets, such as red blood cells and platelet concentrates. Here, we present a case of post\u2010transfusion purpura in a 63\u2010year\u2010old woman who developed acute postoperative thrombocytopenia 7\u2009days after receiving a blood transfusion following knee replacement surgery. She was admitted to the intensive care unit with evidence of alveolar haemorrhage. This case study discusses the clinical presentation, diagnosis, laboratory tests, differential diagnosis and treatment with therapeutic plasma exchange, followed by intravenous immunoglobulin and corticosteroids.<\/jats:p>","DOI":"10.1002\/rcr2.70636","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T11:32:08Z","timestamp":1780399928000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Post\u2010Transfusion Purpura: A Clinical Case With Alveolar Haemorrhage"],"prefix":"10.1002","volume":"14","author":[{"given":"Yordanka","family":"Yamakova","sequence":"first","affiliation":[{"name":"Department of Intensive Care, Clinic for Intensive Care University Hospital \u201cAlexandrovska\u201d, Medical University \u2010 Sofia  Sofia Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandar","family":"Pisanchev","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Clinic for Intensive Care University Hospital \u201cAlexandrovska\u201d, Medical University \u2010 Sofia  Sofia Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9083-3069","authenticated-orcid":false,"given":"Aleksandar","family":"Farfarov","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Clinic for Intensive Care University Hospital \u201cAlexandrovska\u201d, Medical University \u2010 Sofia  Sofia Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6075-3034","authenticated-orcid":false,"given":"Rosen","family":"Petkov","sequence":"additional","affiliation":[{"name":"Clinic for Treatment of Nonspecific Pulmonary Diseases and Tuberculosis UMHAT \u201cSt. Ivan Rilski\u201d, Medical University \u2010 Sofia  Sofia Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"issue":"17","key":"e_1_2_9_2_1","first-page":"839","article-title":"Post\u2010Transfusion Purpura","volume":"265","author":"Shulman N. R.","year":"1961","journal-title":"New England Journal of Medicine"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2147\/JBM.S189176"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood\u20102023\u2010187525"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10030536"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2025.1502628"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2009.03360.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-129-11_Part_1-199812010-00009"},{"key":"e_1_2_9_9_1","first-page":"263","volume-title":"Transfusion Reactions","author":"McFarland J.","year":"2012"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.21705"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537\u20102995.1991.31291142955.x"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70636","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70636","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70636","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:41:14Z","timestamp":1782441674000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70636"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/rcr2.70636"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70636","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2026-01-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70636"}}