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10.4103/0973-6247.187941

http://scihub22266oqcxt.onion/10.4103/0973-6247.187941
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C4993087!4993087!27605855
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suck abstract from ncbi

pmid27605855      Asian+J+Transfus+Sci 2016 ; 10 (2): 152-4
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  • Anti IH: An antibody worth mention #MMPMID27605855
  • Mohanan N; Henry N; Rafi AM; Innah SJ
  • Asian J Transfus Sci 2016[Jul]; 10 (2): 152-4 PMID27605855show ga
  • A 72-year-old female with co-morbidities posted for surgical correction of fracture neck of femur without any history of transfusions was noted to have a hemoglobin level of 7 g/dl and packed red blood cells transfusion was ordered. Pretransfusion tests demonstrated A1B group with D positive on forward grouping. Reverse grouping showed a varying grade of agglutination with A, B, and O cells. Agglutination being stronger at 4°C. Antibody screening showed pan-agglutination, direct Coomb's test and auto control were negative. The serum reacted with adult O cells (OIadult) but not with adult Bombay cells (Oh Iadult) or O cord (Oicord) cells. A possibility of a compound cold antibody anti IH was made and A1B compatible cells were transfused to the patient. This case report illustrates anti-IH cold agglutinin with broad thermal amplitude. Uniqueness of this case report was O group incompatibility with A1B group, which was detected earlier and a catastrophic transfusion reaction being subverted.
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