Warm Reactive Anti-A1 Agglutinin in an A2B individual: A Rare Case with Review of Literature

Author(s): Manish Raturi*, Anuradha Kusum

Journal Name: Current Immunology Reviews (Discontinued)

Volume 16 , Issue 1 , 2020

Graphical Abstract:


The prevalence of the major subgroup of A as A1 in almost 80% of the A group population is a known fact. A2 and the remaining subgroups such as Aend, Am, Ax etc comprise the remaining population, based on erythrocyte agglutinability and various serological reactions. These A subgroups can often result in an ABO typing discrepancy. Anti-A1 antibody often appears as an irregular cold agglutinin in the sera of A2 or A2B individuals who lack the corresponding antigen. Rather notably, the literature suggests that 1% to 8% of A2 and 22% to 35% of A2B individuals possess an allo-anti-A1 in their sera, which reacts at a temperature below 25°C. Although routinely, it does not pose any problem either during or post blood transfusion, however, the literature reports of hemolysis happening in procedures that are performed at lower temperatures, particularly in hypothermic situations. We report herein, a case of a massively bleeding A2B Indian lady after the expulsion of her dead fetus and an underlying uterine fibroid having a warm reactive allo-anti-A1 agglutinin that warranted an urgent blood transfusion management.

Keywords: A2, A2B type, subgroups, anti-A1 lectin, agglutinin, G1PO.

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Article Details

Year: 2020
Published on: 22 December, 2020
Page: [52 - 54]
Pages: 3
DOI: 10.2174/1573395516999200807162612
Price: $65

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