Identification of rare anti-f alloantibody in a tertiary care center in India

A 68-year-old male known follow-up patient of nonalcoholic steatohepatitis and carcinoma stomach was admitted to hospital for further management. The patient was planned for radical gastrectomy and required two units of packed red blood cell (PRBC), due to low hemoglobin of 6.6 g/dl. The patient blo...

Full description

Saved in:
Bibliographic Details
Main Authors: Gunjan Bhardwaj, Ashish Tewari, Deepak Tiwari, Sanjay Vishwakarma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Asian Journal of Transfusion Science
Subjects:
Online Access:https://journals.lww.com/10.4103/ajts.ajts_22_21
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832593730975039488
author Gunjan Bhardwaj
Ashish Tewari
Deepak Tiwari
Sanjay Vishwakarma
author_facet Gunjan Bhardwaj
Ashish Tewari
Deepak Tiwari
Sanjay Vishwakarma
author_sort Gunjan Bhardwaj
collection DOAJ
description A 68-year-old male known follow-up patient of nonalcoholic steatohepatitis and carcinoma stomach was admitted to hospital for further management. The patient was planned for radical gastrectomy and required two units of packed red blood cell (PRBC), due to low hemoglobin of 6.6 g/dl. The patient blood grouping and antibody screening (ABS) were done. Patient ABS was positive. On antibody identification, using eleven-cell identification panel, resolve Panel A (Ortho Clinical Diagnostics, Johnson and Johnson, USA), “anti-f” alloantibody was identified in the patient sample. Select cells, from another resolve panel were used to rule out remaining antibodies. Anti-f antibody is produced due to the exposure of “f antigen.” Anti-f antibody can cause hemolytic disease of fetus and new-born and possible hemolytic transfusion reactions. At our center, we successfully transfused two units of anti-human globulin compatible and “c-negative” units, to the patient without any adverse reactions. Thus, the patient having anti-f antibody can be managed by transfusing “c-negative” or “e-negative” PRBC units or units lacking both the “c” and “e” antigens.
format Article
id doaj-art-6cccfef19af14779a13067a493ee434f
institution Kabale University
issn 0973-6247
1998-3565
language English
publishDate 2024-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Asian Journal of Transfusion Science
spelling doaj-art-6cccfef19af14779a13067a493ee434f2025-01-20T09:40:25ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652024-01-0118113113410.4103/ajts.ajts_22_21Identification of rare anti-f alloantibody in a tertiary care center in IndiaGunjan BhardwajAshish TewariDeepak TiwariSanjay VishwakarmaA 68-year-old male known follow-up patient of nonalcoholic steatohepatitis and carcinoma stomach was admitted to hospital for further management. The patient was planned for radical gastrectomy and required two units of packed red blood cell (PRBC), due to low hemoglobin of 6.6 g/dl. The patient blood grouping and antibody screening (ABS) were done. Patient ABS was positive. On antibody identification, using eleven-cell identification panel, resolve Panel A (Ortho Clinical Diagnostics, Johnson and Johnson, USA), “anti-f” alloantibody was identified in the patient sample. Select cells, from another resolve panel were used to rule out remaining antibodies. Anti-f antibody is produced due to the exposure of “f antigen.” Anti-f antibody can cause hemolytic disease of fetus and new-born and possible hemolytic transfusion reactions. At our center, we successfully transfused two units of anti-human globulin compatible and “c-negative” units, to the patient without any adverse reactions. Thus, the patient having anti-f antibody can be managed by transfusing “c-negative” or “e-negative” PRBC units or units lacking both the “c” and “e” antigens.https://journals.lww.com/10.4103/ajts.ajts_22_21antibody identificationantibody screenanti-f antibodyc-negativee-negativef antigen
spellingShingle Gunjan Bhardwaj
Ashish Tewari
Deepak Tiwari
Sanjay Vishwakarma
Identification of rare anti-f alloantibody in a tertiary care center in India
Asian Journal of Transfusion Science
antibody identification
antibody screen
anti-f antibody
c-negative
e-negative
f antigen
title Identification of rare anti-f alloantibody in a tertiary care center in India
title_full Identification of rare anti-f alloantibody in a tertiary care center in India
title_fullStr Identification of rare anti-f alloantibody in a tertiary care center in India
title_full_unstemmed Identification of rare anti-f alloantibody in a tertiary care center in India
title_short Identification of rare anti-f alloantibody in a tertiary care center in India
title_sort identification of rare anti f alloantibody in a tertiary care center in india
topic antibody identification
antibody screen
anti-f antibody
c-negative
e-negative
f antigen
url https://journals.lww.com/10.4103/ajts.ajts_22_21
work_keys_str_mv AT gunjanbhardwaj identificationofrareantifalloantibodyinatertiarycarecenterinindia
AT ashishtewari identificationofrareantifalloantibodyinatertiarycarecenterinindia
AT deepaktiwari identificationofrareantifalloantibodyinatertiarycarecenterinindia
AT sanjayvishwakarma identificationofrareantifalloantibodyinatertiarycarecenterinindia