Blood bank question
Blood bank question. I know there is a cold autoantibody and an underlying alloantibody causing the positive reactions.
PATIENT NAME. Lot No VRA174 Exp. Date 2012-11-13 Ortho Clinical Diagnostics 2013 – IL COYY . MM.DO PATIENT ID: Panel PANE OF THE Johon Johnson FAMILY OF COMPANIES DATE: TECH: Reagent Red Blood Cells A 635200534 1001 US Highway 202, Raritan, NJ 08869 USA Resolve Panel A CONCLUSION:. Ortho-Clinical Diagnostics, Inc. 2010 Antigram Antigen Profile Special Ah-hr! KELL DUFFY KIDD LEWIS MNS P: ELTHESAN Antigen Typing Test Results Cella Ah-hr Donor DC CE ce 1 C V K k Kpa Kpb JJsbi Fya Fya Jkal Jko Xga Le Leb) S S M N P LUB Lub Number AlwA1 307142 O 0 AIR1 108285 0 2 A2R2 306725 0 0 0 37 Ror 306607 FT 304034 O 0 304019 0 6 104477 O 0 0 0 37 304-486 0 0 0 0 0 0 03 303097 0 0 0 9 010 0 37 0 10 308638 0 10 3 w10 351 0 AIR1 103180 0 0 3+ Patient Cells AC O Mode of Reactivity 37C/Antiglobulin Antiglobulin Variable Cold Ver Shaded columns indicate those antigens which are destroyed or depressed by enzyme treatment. Indicates those antigens whose presence or absence may have been determined using a single example of a specific antibody *Results are from historical testing. "/" represents "Not Tested for new donors.
Can someone help me determine to MOST likely autoantibody and the MOST likely alloantibody causing problems?
Additional info:
I ruled out on cells 7, 8, and 9. The antibodies which could not be ruled out before the prewarm technique are Anti-D, C, E, Cw, V, K, Kpa, Jsa, Leb, S, M, and Lua
After prewarm I ruled out Leb, S, and M since their reactions were destroyed. Could any of those have been causing the positive reaction at immediate spin?
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