Detection of a weaker subgroup of A in ABO blood group system

Testing to detect ABO incompatibility between a donor and potential transfusion recipient is the foundation on which all other pretransfusion testing is based. Sometimes, weak agglutination reactions may be obtained with reagent antibodies due to weak expression of A and B antigens on red blood cell...

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Main Authors: Gurika Chopra, Manpreet Kataria, Arshpreet Kaur Batra, Gurkiran kaur, Rajesh Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:http://www.ajts.org/article.asp?issn=0973-6247;year=2022;volume=16;issue=1;spage=132;epage=134;aulast=
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author Gurika Chopra
Manpreet Kataria
Arshpreet Kaur Batra
Gurkiran kaur
Rajesh Kumar
author_facet Gurika Chopra
Manpreet Kataria
Arshpreet Kaur Batra
Gurkiran kaur
Rajesh Kumar
author_sort Gurika Chopra
collection DOAJ
description Testing to detect ABO incompatibility between a donor and potential transfusion recipient is the foundation on which all other pretransfusion testing is based. Sometimes, weak agglutination reactions may be obtained with reagent antibodies due to weak expression of A and B antigens on red blood cell (RBC) surface which may cause a discrepancy in blood group typing. Here, we report a patient showing discrepancy between RBCs (forward) and serum (reverse) typing. After doing detailed analysis, the blood type as a variant of blood Group A revealed. Subgroups of A are very rare phenotype of blood. Weaker subgroups of A blood group reported so far are mainly A3, Aend, Ax, Am, Ay, and Ael. We are reporting a case of a 35-year-old patient whose RBCs showed a discrepancy between cell and serum grouping during initial testing. Serological investigation included absorption elution tests and saliva tests after performing initial blood grouping. The serological characteristics of the patient's red cells were similar to A3 subtype. The patient was a secretor and A and H substance was present in the saliva. Serum did not show any presence of anti-A1. The weak A phenotype identified had serological characteristics similar to A3.
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spelling doaj.art-9fab0a01568a455c8536272bfca291282022-12-22T02:49:40ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652022-01-0116113213410.4103/ajts.ajts_66_21Detection of a weaker subgroup of A in ABO blood group systemGurika ChopraManpreet KatariaArshpreet Kaur BatraGurkiran kaurRajesh KumarTesting to detect ABO incompatibility between a donor and potential transfusion recipient is the foundation on which all other pretransfusion testing is based. Sometimes, weak agglutination reactions may be obtained with reagent antibodies due to weak expression of A and B antigens on red blood cell (RBC) surface which may cause a discrepancy in blood group typing. Here, we report a patient showing discrepancy between RBCs (forward) and serum (reverse) typing. After doing detailed analysis, the blood type as a variant of blood Group A revealed. Subgroups of A are very rare phenotype of blood. Weaker subgroups of A blood group reported so far are mainly A3, Aend, Ax, Am, Ay, and Ael. We are reporting a case of a 35-year-old patient whose RBCs showed a discrepancy between cell and serum grouping during initial testing. Serological investigation included absorption elution tests and saliva tests after performing initial blood grouping. The serological characteristics of the patient's red cells were similar to A3 subtype. The patient was a secretor and A and H substance was present in the saliva. Serum did not show any presence of anti-A1. The weak A phenotype identified had serological characteristics similar to A3.http://www.ajts.org/article.asp?issn=0973-6247;year=2022;volume=16;issue=1;spage=132;epage=134;aulast=a3 subgroupblood groupingdiscrepancyforward typingreverse typing
spellingShingle Gurika Chopra
Manpreet Kataria
Arshpreet Kaur Batra
Gurkiran kaur
Rajesh Kumar
Detection of a weaker subgroup of A in ABO blood group system
Asian Journal of Transfusion Science
a3 subgroup
blood grouping
discrepancy
forward typing
reverse typing
title Detection of a weaker subgroup of A in ABO blood group system
title_full Detection of a weaker subgroup of A in ABO blood group system
title_fullStr Detection of a weaker subgroup of A in ABO blood group system
title_full_unstemmed Detection of a weaker subgroup of A in ABO blood group system
title_short Detection of a weaker subgroup of A in ABO blood group system
title_sort detection of a weaker subgroup of a in abo blood group system
topic a3 subgroup
blood grouping
discrepancy
forward typing
reverse typing
url http://www.ajts.org/article.asp?issn=0973-6247;year=2022;volume=16;issue=1;spage=132;epage=134;aulast=
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AT arshpreetkaurbatra detectionofaweakersubgroupofainabobloodgroupsystem
AT gurkirankaur detectionofaweakersubgroupofainabobloodgroupsystem
AT rajeshkumar detectionofaweakersubgroupofainabobloodgroupsystem