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comment_65807

The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own.

his hgb is down to 10.7. He is still in house. Still no hematologist on the case.

Barbara

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  • Malcolm Needs
    Malcolm Needs

    I think the key to what blood should be given (if, indeed, the anti-c is an auto-antibody) is whether or not the patient expresses the C antigen.  If he does, then I would be happy to give c negative

  • Barb Thompson
    Barb Thompson

    The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own

  • I'm a little late to the party because my wife and I were on holiday. This post caught my attention because we had an O neg patient with allo-anti-c at our facility in 2015. I've attached a .pdf write

comment_65810
12 hours ago, Barb Thompson said:

The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own.

I thought that might be the case.

comment_65813
18 hours ago, Barb Thompson said:

The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own.

his hgb is down to 10.7. He is still in house. Still no hematologist on the case.

Barbara

So his Hgb dropped about 5 grams in a week? Yikes!  Is he leaking?

Scott

comment_65833

I'm a little late to the party because my wife and I were on holiday. This post caught my attention because we had an O neg patient with allo-anti-c at our facility in 2015. I've attached a .pdf write up I summarized for our CLS students and any generalist in our laboratory who were interested. This is based on the patient history we could acquire and reports from our reference laboratory and the Blood Center of Wisconsin.

Del Type.pdf

comment_65839
On ‎17‎/‎05‎/‎2016 at 9:03 PM, Barb Thompson said:

The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own.

his hgb is down to 10.7. He is still in house. Still no hematologist on the case.

Barbara

Well I am not going to say I 'like' this - I don't 'like' at all that the haematologists haven't seen him.  Surely there are only 2 possibilities with that level of drop in Hgb - either he is bleeding or he has a true warm auto immune haemolytic anaemia (or both, of course)

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