David Saikin Posted July 16, 2013 Share Posted July 16, 2013 Never have seen an anti-N before - just looking for some comments/insight. The pt is admitted for a colon reanastamosis. 1-2+ rx with IgG gel card. Only anti-N is demonstrable - non-reactive at room temp. Pt has a 1+ DAT with a panagglutinin. I tried 2 step ficin pretreatment to see if I could get red of the N BUT instead found panreactivity. I am assuming this and the +DAT are due to gut flora seeding into the circulatory system. Had 2 N= rbcs but transfusion not needed. In this instance I felt compelled to provide ag neg rbcs since it appeared the ab had only an IgG component. No transfusin history. Am I missing anything? Link to comment Share on other sites More sharing options...
DOGLOVER Posted July 16, 2013 Share Posted July 16, 2013 I have seen a couple over the years. The first one was a long, long time ago and was on a dialysis patient. In times past anti-N was not uncommon in dialysis patients. The other as I recall was IgM and prewarmed away . Looks like you've got one of the antibodies that make life interesting in the Blood Bank Link to comment Share on other sites More sharing options...
goodchild Posted July 16, 2013 Share Posted July 16, 2013 http://www.pathlabtalk.com/forum/index.php?/topic/6943-anti-n-in-ob-patient/?hl=anti-n Some interesting notes from Malcolm. David Saikin 1 Link to comment Share on other sites More sharing options...
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