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Warm Antibodies: A Case Study

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There is definitely a variety of different transfusion reactions a patient can obtain and can pertain to a wide range of causes. Some of which can be caused by a warm antibody. Warm Autoimmune hemolytic anemia (WAIHA) which can be idiopathic and seen more often than a cold antibody, is actually one of the most common autoimmune hemolytic transactions occurred; often they are IgG antibodies and occasionally 1gM or IgA. Therefore, it is critical to ensure every patient's blood work is verified through out all blood test: ABO/D, Antibody Screen, Antibody Panel and Crossmatch. A warm antibody simply consists of an antibody that can be detected at 37° C or above Celsius. Warm antibodies that have been identified in the past can be any of the following: …show more content…
My patients auto-control was also positive, so further testing should be done to determine the cause. A DAT can be performed to verify if patients RBC are sensitized with patients own antibodies or transfused antibodies. An auto adsorption test can be done if the patient has not had a transfusion with in the past three months; this test would confirm if patients RBC are sensitized with patients own antibodies. Or a allogeneic adsorption can be done if the patient has had a transfusion with in the past three months; this exam confirms patients RBC being sensitized with a different individuals antibodies. Elution procedures can also be done if needed such as: freeze-thaw elution method and the acid elution method (most commonly performed). After reading the patients history I confirmed that he had a transfusion with in the past three months due to a appendectomy procedure; so I decided to follow up with a allogeneic adsorption procedure. Once obtaining results from the allogeneic adsorption test, it was identified that a Jk antibody was found. Kidd antibodies are known to cause a delayed transfusion reaction from one to four weeks after the

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