Health
Dear Doctor: Why did the blood bank refuse my donation?
Dear Dr. Cockroach: I recently donated blood to a local blood bank. This has been done many times in the past. Three weeks later, I received a letter saying that my blood was unacceptable and unacceptable because it responded to HTLV-1 and -2. I had my blood retested, but all went back to negative, why can’t I donate again? –MB
Answer: Human T-cell lymphotrophic virus is rare in the United States and Canada, and 95% of people who find the virus in their blood never develop symptoms. However, it can cause two different disorders: adult T-cell leukemia / lymphoma and HTLV-1-related myelopathy (also known as tropical spastic paralysis).
This virus is an HIV-related retrovirus (HIV was originally called HTLV-3), but it does not cause anything like the symptoms of HIV. However, like HIV, it can take years or even decades for symptoms to appear after infection.
The virus is especially common on tropical islands such as Japan, Africa, the Caribbean Sea and Papua New Guinea. It can be transmitted to the mother by breastfeeding, sexual contact, blood transfusion, or needle sharing.
All blood donors are screened for HTLV-1 and HTLV-2. The positive rate of repeat blood donors is very low. Unless there is exposure as in endemic countries between the last donation and the present, a positive blood test can be wrong-there is no perfect test.
It may be appropriate to consult an infectious disease specialist. Additional tests, such as PCR tests, may help determine if you are really infected with the virus.
The Food and Drug Administration has released guidance to allow people to donate blood again after detection of HTLV-1 or -2. Your doctor and blood bank should review this.
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Dr. Roach regrets not being able to answer the individual letters, but incorporate them into the column as much as possible.Readers can email questions [email protected] Alternatively, send an email to 628 Virginia Dr., Orlando, FL32803.
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