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抗-Jr抗体所致胎儿及新生儿致命性溶血病:一例报告及文献复习

Fatal hemolytic disease of the fetus and newborn caused by anti-Jr antibody: A case report and literature review.

作者信息

Kim Min-Sun, Kim Jin Seok, Park Hyewon, Chung Yousun, Kim Hyungsuk, Ko Dae-Hyun, Hwang Sang-Hyun, Won Hye-Sung, Oh Heung-Bum

机构信息

Department of Laboratory Medicine, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Republic of Korea.

Seegene Medical Foundation, Seoul, Republic of Korea.

出版信息

Transfus Apher Sci. 2020 Feb;59(1):102605. doi: 10.1016/j.transci.2019.06.029. Epub 2019 Jul 10.

Abstract

The Jr antigen of the JR blood group system is a highly prevalent red blood cell antigen. Although anti-Jr-associated hemolytic disease of the fetus and newborn (HDFN) is generally considered mild-to-moderate, a rare fatal case was recently reported. We report the third example of HDFN-related anti-Jr with fatal outcomes. The clinical significance of anti-Jr antibody as a cause of HDFN should be reassessed.

摘要

JR血型系统的Jr抗原是一种高度常见的红细胞抗原。虽然胎儿及新生儿溶血病(HDFN)相关的抗Jr通常被认为病情为轻至中度,但最近有一例罕见的致命病例被报道。我们报告了第三例与HDFN相关的抗Jr导致致命后果的病例。抗Jr抗体作为HDFN病因的临床意义应重新评估。

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