K antigens on neonatal red blood cells blocked by anti-K with titer of 32

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Immunohematology

American National Red Cross

Subject: Medical Laboratory Technology

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ISSN: 0894-203X
eISSN: 1930-3955

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VOLUME 36 , ISSUE 2 (June 2020) > List of articles

K antigens on neonatal red blood cells blocked by anti-K with titer of 32

J. Novoselac * / M. Raos / G. Tomac / M. Lukić / B. Golubić Ćepulić

Keywords : HDFN, blocked antigen, maternal anti-K, titer

Citation Information : Immunohematology. Volume 36, Issue 2, Pages 54-57, DOI: https://doi.org/10.21307/immunohematology-2020-041

License : (Transfer of Copyright)

Published Online: 17-February-2021

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ABSTRACT

The blocking of red blood cell (RBC) antigens occurs when potent maternal antibodies bind to antigens on fetal or neonatal RBCs, causing them to be negative when typed with human IgM antisera. This phenomenon is rare; when it does occur, the antibody is usually of a high titer. This reported finding is typically due to anti-D, with rare reports describing false-negative K phenotyping due to blocking by maternal anti-K. We report a case of a potent anti-K with a titer of 32 that blocked K antigens on neonatal RBCs, causing them to phenotype as K–. The neonate also had clinically significant anemia (i.e., hemolytic disease of the newborn) due to the anti-K.

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