References:
- Redman M, Regan F, Contreras M. A prospective study of the incidence of red cell allo-immunisation following transfusion. Vox Sang 1996; 71(4): 216-20.
- Tormey CA, Fisk J, Stack G. Red blood cell alloantibody frequency, specificity, and properties in a population of male military veterans. Immunohematology 2008; 48(10): 2069-76.
- Wallis JP. Is it time to give up the crossmatch? J Clin Pathol 2000; 53(9): 673-5.
- Roback J, Combs MR, Grossman B, Hillyer Ch. Technical Manual. USA: American Association of Blood Banks; 2008. p. 441-54.
- Rudmann SV. Textbook of Blood Banking and Transfusion Medicine. 2nd ed. Philadelphia: Saunders; 2004. p. 318-40.
- Huh YO. Pretransfusion Testing of Red Blood Cells: Current Status. Current Issues in Transfusion Medicine 1994; 3(1): 216-20.
- Dajak S, Roje D, Hašpl ŽH, Maglić PE. The importance of antenatal prevention of RhD immunisation in the first pregnancy. Blood Transfus 2014; 12(3): 410-5.
- Tiblad E, Westgren M, Pasupathy D, Karlsson A, Wikman AT. Consequences of being immunized during pregnancy and how to optimize new prevention
strategies. Acta Obstet Gynecol Scand 2013; 92(9): 1079-85.
- Fluit CR, Kunst VA, Dernthe-Schonk AM. Incidence of red cell antibodies after multiple blood transfusion. Transfusion 1990; 30(6): 532-5.
- Achonewille H, Haak HL, van Zijl AM. Alloimmunization after blood Transfusion in patients with hematologic and oncologic diseases. Transfusion 1999; 39(7): 763-71.
- Winters JL, Pineda AA, Gorden LD, Bryant SC, Melton LJ 3rd, Vamvakas EC, et al. RBC alloantibody specificity and antigen potency in Olmsted County, Minnesota. Transfusion 2001; 41(11): 1413-20.
- Ameen R, Al-Eyaadi O, Al-Shemmari S, Chowdhury R, Al-Bashiri A. Frequency of red blood cell alloantibody in Kuwaitu population. Med princ pract 2005; 14(4): 230-4.
- Gharehbaghian A, Ghezelbash B, Aghazade S, Hojjati MT. Evaluation of Alloimmunization Rate and Necessity of Blood Type and Screening Test among Patients Candidate for Elective Surgery. Int J Hematol Oncol Stem Cell Res 2014; 8(1): 1-4.
- Shirey RS, King KE. Alloimmunization to blood group antigens. In: Anderson KC, Ness PM. Scientific basis of transfusion medicine. 2nd ed. Philadelphia: W.B. Saunders; 2000. p. 393-400.
- Eklund J, Nevanlinna HR. Immunosuppressive Therapy in Rh-incompatible Transfusion. Br Med J 1971; 3(5775): 623-4.
- Fung Kee Fung K, Eason E, Crane J, Armson A, De La Ronde S, Farine D, et al. Prevention of Rh alloimunization. J Obstet Gynaecol Can 2003; 25(9): 765-73.
Sci J Iran Blood Transfus Organ 2016; 13(2): 156-162
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A case report of a patient with alloantibodies
and multiple abortions
Ghezelbash B.1,2, Moghaddam M.1, Naghi A.1
1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Ardabil Regional Educational Blood Transfusion Center, Ardabil, Iran
Abstract
Background and Objectives
Unexpected alloantibodies in the sera of patients who have a history of blood transfusion or pregnancy were found; they caused complications in a patient following blood transfusion.
Case
A 30-year-old woman with a history of five abortions at months 7 and 9 and with a history of 4 units of blood transfusion in one of her pregnancies referred for screening tests at the week 19th of her pregnancy. In antibody screening and genotyping, 2 cells of the 3 cells of the triple panel and 8 cells of the 11 cells of the triple panel showed positive reactions at different temperature degrees, respectively. Selected Cells and Enzyme treatment were used for the final confirmation of antibody typing.
Conclusions
The studies show that the incidence of these alloantibodies is higher in the sera of patients who have a history of blood transfusion and recurrent pregnancies. Based on the results, it is recommended for the patients with anti-D and –E to receive blood components free of these two antigens.
Key words: Alloantibodies, Previous Abortion, screening
Received: 8 Jun 2015
Accepted: 9 Dec 2015
Correspondence: Ghezelbash B. PhD Student of Hematology & Blood Banking. Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine and Ardabil Regional Educational Blood Transfusion Center.
Postal Code: 5613774111, Ardabil, Iran. Tel: (+98451) 3361408; Fax: (+98451) 3361409
E-mail:
behruzghezelbash@yahoo.com