Adding further evidence for clinically significant anti-Leb antibody in a voluntary blood donor
- PMID: 33767551
- PMCID: PMC7983150
- DOI: 10.4103/ajts.AJTS_68_19
Adding further evidence for clinically significant anti-Leb antibody in a voluntary blood donor
Abstract
Herein, we report a case of naturally occurring anti-Leb alloantibody identified in the plasma of a first time voluntary blood donor. The immunohematology workup was done on the pilot sample tubes collected during blood donation by the conventional tube technique and using ID-Micro Column System Glass Beads card (anti-IgG, C3d; Ortho-Clinical Diagnostics, Raritan, New Jersey, USA). Blood group of the donor was confirmed to be B RhD positive, and the alloantibody in his plasma was identified as anti-Leb, having clinically significant characteristics. Since in this particular case, anti-Leb was IgM and IgG in nature, it was clinically significant and can lead to hemolytic transfusion reaction, especially if such fresh frozen plasma unit is transfused to Leb negative patients.
Keywords: Anti-Leb antibody; blood donor; hemolytic transfusion reaction.
Copyright: © 2020 Asian Journal of Transfusion Science.
Conflict of interest statement
There are no conflicts of interest.
Similar articles
-
Acute hemolytic transfusion reaction due to anti-Le(b).Transfusion. 2015 Oct;55(10):2486-8. doi: 10.1111/trf.13178. Epub 2015 May 28. Transfusion. 2015. PMID: 26018602
-
A cold scare: Formation of cold reactive anti-A1 coinciding with gross hemolysis.Pract Lab Med. 2018 May 7;12:e00100. doi: 10.1016/j.plabm.2018.e00100. eCollection 2018 Nov. Pract Lab Med. 2018. PMID: 30009243 Free PMC article.
-
Prevalence of irregular red cell antibody in healthy blood donors attending a tertiary care hospital in North India.Asian J Transfus Sci. 2018 Jan-Jun;12(1):17-20. doi: 10.4103/ajts.AJTS_4_17. Asian J Transfus Sci. 2018. PMID: 29563670 Free PMC article.
-
Risks of hemolysis due to anti-A and anti-B caused by the transfusion of blood or blood components containing ABO-incompatible plasma.Transfusion. 2013 Jan;53 Suppl 1:114S-123S. doi: 10.1111/trf.12045. Transfusion. 2013. PMID: 23301963 Review.
-
[Advancement in the preparation of red cell concentrates and platelet concentrates].Masui. 2011 Jan;60(1):23-30. Masui. 2011. PMID: 21348247 Review. Japanese.
Cited by
-
An Interesting Case of Clinically Significant Naturally Occurring Anti-Leb Alloantibody in a Pediatric Patient.Indian J Hematol Blood Transfus. 2024 Apr;40(2):351-352. doi: 10.1007/s12288-023-01688-5. Epub 2023 Sep 22. Indian J Hematol Blood Transfus. 2024. PMID: 38708157 Free PMC article. No abstract available.
-
Unveiling Clinically Significant Anti-Lewis Antibodies: A Case Report.Cureus. 2024 Dec 18;16(12):e75975. doi: 10.7759/cureus.75975. eCollection 2024 Dec. Cureus. 2024. PMID: 39840166 Free PMC article.
References
-
- Fung MK, Grossman BJ, Hillyer CD, Westhoff CM. Technical Manual. 18th ed. Bethesda, USA: AABB; 2014. ABO, H, and Lewis Blood Groups and Structurally Related Antigens; pp. 305–6.
-
- Spitalnik S, Cowles J, Cox MT, Blumberg N. Detection of IgG anti-Lewis(a) antibodies in cord sera by kinetic Elisa. Vox Sang. 1985;48:235–8. - PubMed
-
- Mollison PL, Engelfriet CP, Conteras M. Blood Transfusion in Clinical Medicine. 9th ed. Oxford: Black well Scientific Publication; 1993. The Rh blood group system; pp. 2008–9.
-
- Leger RM. Blood group terminology and other blood groups. In: Harmening DM, editor. Modern Blood Banking and Transfsuion Practices. 6th ed. USA: FA Davis; 2012. pp. 172–215.
-
- Thakral B, Saluja K, Sharma RR, Marwaha N. Phenotype frequencies of blood group systems (Rh, Kell, Kidd, Duffy, MNS, P, Lewis, and Lutheran) in north Indian blood donors. Transfus Apher Sci. 2010;43:17–22. - PubMed
Publication types
LinkOut - more resources
Full Text Sources