Citrate-dependent auto-antibody causing error in blood grouping

Vox Sanguinis
S R Joshi

Abstract

Errors in blood grouping are occasionally due to anomalous antibodies or extraneous materials in the reagents. We investigated the case of a volunteer blood donor who was originally grouped as AB, Rh-positive, by slide grouping. However, her washed red cells showed group B, which agreed with her reverse serum grouping. Standard serologic techniques were employed throughout. Investigation revealed an unusual autoantibody in the donor's blood that preferentially agglutinated the red cells in the presence of citrate. Because the grouping reagents contained citrate, this led to a false grouping when whole blood was tested rather than washed red cells. The antibody reacted at 37 degrees C and at 4 degrees C, but failed to agglutinate red cells when 0.1 M solution of monosaccharides was added to the reaction mixture. The antibody agglutinated all red cells except 6 examples of the 'Bombay' phenotype included in the panel. The antibody was neutralized by H secretor saliva, and its activity was abolished by DTT reagent, indicating its possible IgM nature. These findings suggest that this anomalous antibody has anti-H specificity.

References

Jan 1, 1972·Vox Sanguinis·T D GillundB Isham
Dec 1, 1969·Vox Sanguinis·H H Gunson
Sep 1, 1972·Transfusion·W L Marsh
Jan 1, 1984·Vox Sanguinis·M RevironJ F Lagabrielle
Mar 1, 1982·Transfusion·S E HoweD Berkner
Oct 1, 1980·Vox Sanguinis·T LewisD R Avoy
Jan 1, 1981·Vox Sanguinis·C A Strange, J Cross

Citations

Related Concepts

Blood Group H Type 1 Antigen
Autoantibodies
Blood Donor
Blood Grouping and Crossmatching
Collection of Blood Specimen for Laboratory Procedure
Citrates
False Positive Reactions
Fucose
Exohemagglutinins
IgM2

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