A proposed new low-frequency antigen in the Augustine blood group system associated with a severe case of hemolytic disease of the fetus and newborn

Glenda M. Millard, Eunike C. McGowan, Brett Wilson, Jacqui R. Martin, Michaela Spooner, Scott Morris, Ray Farley, Simon James, Yew-Wah Liew, Elizna M. Schoeman, Melinda M. Dean, Robert L. Flower, Catherine A. Hyland, Tanya Powley, David Roxby

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract


A male infant born at 29 weeks presented with a severe case of hemolytic disease of the fetus and newborn (HDFN) (cord blood direct anti-globulin test 41, hemoglobin 45 g/L with cardiac failure, pleural effusion, and generalized edema). Two exchange and four top-up transfusions were required. The maternal antibody was reactive with paternal red blood cells (RBCs). Later testing revealed that the antibody reacted with RBCs from four additional members of the paternal family. Extensive testing excluded clinically relevant RBC antibodies but failed to reveal a specificity for this antibody. To guide further investigation, specimens from the family (n510) were submitted for blood group genetic studies.
Original languageEnglish
Pages (from-to)1320-1322
Number of pages3
JournalTRANSFUSION
Volume58
Issue number5
Early online date2018
DOIs
Publication statusPublished - May 2018
Externally publishedYes

Keywords

  • low-frequency antigen
  • Augustine blood group system
  • hemolytic disease

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