Acute hemolytic transfusion reaction secondary to anti-Fy3

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Immunohematology

American National Red Cross

Subject: Medical Laboratory Technology

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ISSN: 0894-203X
eISSN: 1930-3955

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VOLUME 21 , ISSUE 2 (June 2005) > List of articles

Acute hemolytic transfusion reaction secondary to anti-Fy3

Horatiu Olteanu / David Gerber / Kara Partridge / Ravindra Sarode

Keywords : Duffy blood group system, intravascular hemolysis, transfusion reaction

Citation Information : Immunohematology. Volume 21, Issue 2, Pages 48-52, DOI: https://doi.org/10.21307/immunohematology-2019-392

License : (Transfer of Copyright)

Published Online: 21-April-2020

ARTICLE

ABSTRACT

A hemolytic transfusion reaction due to anti-Fy3 is reported in an African American patient with no history of sickle cell disease. This 82-year-old African American woman received two units of RBCs for anemia (Hb 7g/dL) on admission for a left hip fracture. On hospital Day 7, the patient underwent left hip endoprosthesis surgery; she received two units of RBCs on the second postoperative day due to Hb of 6.1g/dL. Her urine was dark during surgery and postoperatively. Her posttransfusion plasma was red. Her Hb dropped from 8.4 to 6.4 g/dL over 24 hours after the transfusion. Her total bilirubin rose to 4.0 mg/dL, with an LDH value of 1558 U/L and a haptoglobin of 10.9 mg/dL. Both the antibody detection test and the DAT were positive. An anti-Fy3 was identified in the serum and in the eluate. To the best of our knowledge,this is the first case of acute intravascular hemolysis due to anti-Fy3 in a patient without sickle cell disease.

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