Negi Gita, Malhotra Sheetal, Meinia Sushant Kumar, Kaur Daljit, Rai Divya
Department of Transfusion Medicine, All India Institute of Medical Sciences, Rishikesh, India.
Department of Transfusion Medicine, Post Graduate Institute of Medical Education and Research PGIMER, Chandigarh, India.
Asian J Transfus Sci. 2020 Jul-Dec;14(2):198-199. doi: 10.4103/ajts.AJTS_68_19. Epub 2020 Dec 19.
Herein, we report a case of naturally occurring anti-Le alloantibody identified in the plasma of a first time voluntary blood donor. The immunohematology workup was done on the pilot sample tubes collected during blood donation by the conventional tube technique and using ID-Micro Column System Glass Beads card (anti-IgG, Cd; Ortho-Clinical Diagnostics, Raritan, New Jersey, USA). Blood group of the donor was confirmed to be B RhD positive, and the alloantibody in his plasma was identified as anti-Le, having clinically significant characteristics. Since in this particular case, anti-Le was IgM and IgG in nature, it was clinically significant and can lead to hemolytic transfusion reaction, especially if such fresh frozen plasma unit is transfused to Le negative patients.
在此,我们报告一例在首次自愿献血者血浆中发现的天然存在的抗-Le同种抗体。免疫血液学检查是通过传统试管技术,使用ID-微柱系统玻璃珠卡(抗IgG、补体;美国新泽西州拉里坦市奥瑟临床诊断公司)对献血时采集的预试验样本管进行的。确认献血者血型为B RhD阳性,其血浆中的同种抗体被鉴定为抗-Le,具有临床显著特征。由于在这个特殊病例中,抗-Le本质上是IgM和IgG,具有临床显著性,可导致溶血性输血反应,特别是如果将这种新鲜冰冻血浆单位输给Le阴性患者。