| Literature DB >> 25171447 |
Tina S Ipe1, Jennifer J Wilkes, Helge D Hartung, Connie M Westhoff, Stella T Chou, David F Friedman.
Abstract
A 5-year-old male with sickle cell disease presented with pain, dark urine, and fatigue 10 days after a red blood cell (RBC) transfusion. Laboratory evaluation demonstrated severe anemia, blood type O+, and anti-D in the serum. Anti-D in a D+ patient led to RH genotyping, which revealed homozygosity for RHD*DAU4 that encodes partial D antigen. Anti-D in this patient whose RBCs exclusively express partial D caused a delayed hemolytic transfusion reaction after exposure to D+ RBCs. The finding of anti-D in a D+patient should be investigated by molecular methods to help distinguish an alloantibody from an autoantibody.Entities:
Mesh:
Substances:
Year: 2015 PMID: 25171447 PMCID: PMC4333075 DOI: 10.1097/MPH.0000000000000241
Source DB: PubMed Journal: J Pediatr Hematol Oncol ISSN: 1077-4114 Impact factor: 1.289