Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematology

Detection of nonspecific antibodies unrelated to blood group antigen that causes nuisance in pretransfusion testing is a rare event. Their interpretation is often made only after the exclusion of all possible clinically significant antibodies and results in the unnecessary expenditure of reagents an...

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Main Authors: Dhivya Kandasamy, Shamee Shastry, Deepika Chenna, Ganesh Mohan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:http://www.ajts.org/article.asp?issn=0973-6247;year=2018;volume=12;issue=2;spage=169;epage=172;aulast=Kandasamy
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author Dhivya Kandasamy
Shamee Shastry
Deepika Chenna
Ganesh Mohan
author_facet Dhivya Kandasamy
Shamee Shastry
Deepika Chenna
Ganesh Mohan
author_sort Dhivya Kandasamy
collection DOAJ
description Detection of nonspecific antibodies unrelated to blood group antigen that causes nuisance in pretransfusion testing is a rare event. Their interpretation is often made only after the exclusion of all possible clinically significant antibodies and results in the unnecessary expenditure of reagents and human resources. We report one such nuisance antibody detected in an antenatal female that showed pan reaction with antibody screening and identification panel red cells including auto control but was compatible with group-specific donor units. Direct antiglobulin test was positive with no hematological evidence of bleeding. Repeat antibody screening test performed after washing the panel red cells and use of panel cells from different manufacturer showed negative reaction raising the suspicion of antibody specificity against chemical constituents in suspension medium of panel cells. Interpretation of nonspecific antibodies as to what they really are demands extensive immunohematological work-up and causes a delay in issue of blood components to the recipient.
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spelling doaj.art-3ebeb32568b54a189b9d7346c95685f62022-12-21T20:18:06ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652018-01-0112216917210.4103/ajts.AJTS_100_17Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematologyDhivya KandasamyShamee ShastryDeepika ChennaGanesh MohanDetection of nonspecific antibodies unrelated to blood group antigen that causes nuisance in pretransfusion testing is a rare event. Their interpretation is often made only after the exclusion of all possible clinically significant antibodies and results in the unnecessary expenditure of reagents and human resources. We report one such nuisance antibody detected in an antenatal female that showed pan reaction with antibody screening and identification panel red cells including auto control but was compatible with group-specific donor units. Direct antiglobulin test was positive with no hematological evidence of bleeding. Repeat antibody screening test performed after washing the panel red cells and use of panel cells from different manufacturer showed negative reaction raising the suspicion of antibody specificity against chemical constituents in suspension medium of panel cells. Interpretation of nonspecific antibodies as to what they really are demands extensive immunohematological work-up and causes a delay in issue of blood components to the recipient.http://www.ajts.org/article.asp?issn=0973-6247;year=2018;volume=12;issue=2;spage=169;epage=172;aulast=KandasamyImmunohematological work upnuisance antibodiespretransfusion testing
spellingShingle Dhivya Kandasamy
Shamee Shastry
Deepika Chenna
Ganesh Mohan
Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematology
Asian Journal of Transfusion Science
Immunohematological work up
nuisance antibodies
pretransfusion testing
title Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematology
title_full Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematology
title_fullStr Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematology
title_full_unstemmed Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematology
title_short Real eyes realizes real lies: A case report and review of nuisance antibodies in immunohematology
title_sort real eyes realizes real lies a case report and review of nuisance antibodies in immunohematology
topic Immunohematological work up
nuisance antibodies
pretransfusion testing
url http://www.ajts.org/article.asp?issn=0973-6247;year=2018;volume=12;issue=2;spage=169;epage=172;aulast=Kandasamy
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AT deepikachenna realeyesrealizesrealliesacasereportandreviewofnuisanceantibodiesinimmunohematology
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