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 language | English |
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Pages (from-to) | 1320-1322 |
Number of pages | 3 |
Journal | TRANSFUSION |
Volume | 58 |
Issue number | 5 |
Early online date | 2018 |
DOIs | |
Publication status | Published - May 2018 |
Externally published | Yes |
Keywords
- low-frequency antigen
- Augustine blood group system
- hemolytic disease