StephanieM Posted September 18, 2012 Share Posted September 18, 2012 Okay, I'm looking for some advise as to a type discrepancy. I have a patient forward typing as an A, reverse typing as an O. Reacts with A1 lectin and A2 cells. The patient plasma was warmed to see if it could have been a cold and would warm away but there was still reactivity. Any suggestions? Link to comment Share on other sites More sharing options...
R1R2 Posted September 18, 2012 Share Posted September 18, 2012 Rouleaux or a strong anti M? Link to comment Share on other sites More sharing options...
John Eggington Posted September 18, 2012 Share Posted September 18, 2012 Have you tried a 'cold' panel? Also, what's the matter with the patient, have they been transfused, etc. Link to comment Share on other sites More sharing options...
StephanieM Posted September 18, 2012 Author Share Posted September 18, 2012 We are doing a cold screen and it is reacting 4+ at room temp and we are in the last stage of the screen. We are thinking a cold auto? We are also in the process of performing a panel to see if we can rule in or out anti-M but so far everything is reading 4+ Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted September 18, 2012 Share Posted September 18, 2012 What is the auto?........and, as John asks, what is the underlying pathology?Also, try a panel at 30oC. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted September 18, 2012 Share Posted September 18, 2012 Sorry , also meant to ask, have you tried a DAT using a monospecific anti-C3d? Link to comment Share on other sites More sharing options...
StephanieM Posted September 18, 2012 Author Share Posted September 18, 2012 DAT negativeby auto I meant cold autoantibodyNo history of transfusion no pregnanciesthe full prewarm panel is incubating 37 degrees Link to comment Share on other sites More sharing options...
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