AmyL86

Okay. Why are we giving A type units? Can't an A2 subtype form an allogeneic anti-A1? If so, should we continue to transfuse the patient with A type blood until they develop an antibody?

Hi, think this is my first post here. My name is Amy, just to share a tidbit with everyone.. I had a patient today that typed as such: Forward type: Anti-A = 2+ Anti-B = 4+ Anti-D = 4+ Reverse type: Acell = 0 Bcell = 0 Anti-A1 = 0 87 y/o male, oncology patient. I was reviewing reports for the BB Supervisor, when I saw the weak Anti-A in forward, I investigated and got the aforementioned results. The overnight tech released A+ blood on this patient, but no symptoms of transfusion reaction. I notified my pathologist and switched the patient to O+ in light of the absence of A1 antigens. my question: I am surprised to see that the A cell in the reverse type is coming up negative. In my texbook, type discrepancies such as this are accompanied by the presence of anti-A1 in the patient's plasma. Here, I don't have a demostrable Anti-A1 and I am wondering if the antibody is naturally occuring, and in what frequency?

Hi, think this is my first post here. My name is Amy, just to share a tidbit with everyone.. I had a patient today that typed as such: Forward type: Anti-A = 2+ Anti-B = 4+ Anti-D = 4+ Reverse type: Acell = 0 Bcell = 0 Anti-A1 = 0 87 y/o male, oncology patient. I was reviewing reports for the BB Supervisor, when I saw the weak Anti-A in forward, I investigated and got the aforementioned results. The overnight tech released A+ blood on this patient, but no symptoms of transfusion reaction. I notified my pathologist and switched the patient to O+ in light of the absence of A1 antigens. my question: I am surprised to see that the A cell in the reverse type is coming up negative. In my texbook, type discrepancies such as this are accompanied by the presence of anti-A1 in the patient's plasma. Here, I don't have a demostrable Anti-A1 and I am wondering if the antibody is naturally occuring, and in what frequency?

Hi, think this is my first post here. My name is Amy, just to share a tidbit with everyone.. I had a patient today that typed as such: Forward type: Anti-A = 2+ Anti-B = 4+ Anti-D = 4+ Reverse type: Acell = 0 Bcell = 0 Anti-A1 = 0 87 y/o male, oncology patient. I was reviewing reports for the BB Supervisor, when I saw the weak Anti-A in forward, I investigated and got the aforementioned results. The overnight tech released A+ blood on this patient, but no symptoms of transfusion reaction. I notified my pathologist and switched the patient to O+ in light of the absence of A1 antigens. my question: I am surprised to see that the A cell in the reverse type is coming up negative. In my texbook, type discrepancies such as this are accompanied by the presence of anti-A1 in the patient's plasma. Here, I don't have a demostrable Anti-A1 and I am wondering if the antibody is naturally occuring, and in what frequency?