jalomahe Posted September 12, 2019 Share Posted September 12, 2019 I have an B Pos prenatal patient who has a positive antibody screen by Capture Solid Phase. Testing shows reactions with rr cells only in both by Capture Solid Phase and IAT with PeG. I'm thinking it is likely to be anti f? Am I on the right track or is there something else I should consider? Link to comment Share on other sites More sharing options...
Malcolm Needs ★ Posted September 12, 2019 Share Posted September 12, 2019 Sounds spot on to me, but what is her Rh phenotype? Link to comment Share on other sites More sharing options...
jalomahe Posted September 12, 2019 Author Share Posted September 12, 2019 Malcolm Either DcE/DcE or DcE/dcE Malcolm Needs 1 Link to comment Share on other sites More sharing options...
Malcolm Needs ★ Posted September 13, 2019 Share Posted September 13, 2019 12 hours ago, jalomahe said: Malcolm Either DcE/DcE or DcE/dcE Thanks. That, at least, makes it even more likely. I would suggest that, at some point, she has either been transfused with blood expressing the RHCE*ce haplotype, or has been pregnant before with a foetus expressing this haplotype. The good news is that, if it proves to actually be anti-f, it has only ever been implicated in cases of mild, almost sub-clinical, HDFN. jalomahe and David Saikin 2 Link to comment Share on other sites More sharing options...
jalomahe Posted September 13, 2019 Author Share Posted September 13, 2019 Thanks Malcolm. I don't know why but f has always confused me way more than it should and now that manufacturer's have taken it off the panel antigrams it becomes an enigma that I have to try to explain to techs with less experience than I ..... Malcolm Needs and BankerGirl 1 1 Link to comment Share on other sites More sharing options...
David Saikin Posted September 17, 2019 Share Posted September 17, 2019 Malcolm is awesome - I found my first anti-f a few years ago and he made cogent comments similar to yours. He is a great resource. Malcolm Needs 1 Link to comment Share on other sites More sharing options...
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