Ann Lab Med.  2012 Nov;32(6):442-444.

The First Korean Case Report of Anti-Gerbich

Affiliations
  • 1Department of Medicine, Kyung Hee University Graduate School Seoul, Korea.
  • 2Department of Laboratory Medicine, Kyung Hee University School of Medicine Seoul, Korea.
  • 3Department of Laboratory Medicine, Inje University College of Medicine, Busan, Korea.
  • 4Department of Laboratory Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea. wileemd@khu.ac.kr

Abstract

In this study, we report the first Korean case of an anti-Gerbich (Ge) alloantibody to a high-incidence antigen that belongs to the Ge blood group system. The alloantibody was detected in a middle-aged Korean woman who did not have a history of transfusion. Her blood type was B+, and findings from the antibody screening test revealed 1+ reactivity in all panels except the autocontrol. The cross-matching test showed incompatible results with all 5 packed red blood cells. Additional blood type antigen and antibody tests confirmed the anti-Ge alloantibody. While rare, cases of hemolytic transfusion reaction or hemolytic disease in newborns due to anti-Ge have been recently reported in the literature. Therefore, additional further studies on alloantibodies to high-incidence antigens, including anti-Ge, are necessary in the future.

Keyword

Ge; Blood group antigens; Transfusion

MeSH Terms

*ABO Blood-Group System
Asian Continental Ancestry Group
*Blood Group Incompatibility
Blood Grouping and Crossmatching
Female
Glycophorin/immunology
Humans
Isoantibodies/blood/*immunology
Magnetic Resonance Imaging
Middle Aged
Radiculopathy/complications/diagnosis
Republic of Korea
Uterine Cervical Diseases/complications/radiography
ABO Blood-Group System
Glycophorin
Isoantibodies

Reference

1. Roback JD, Combs MR, editors. Technical manual. 2008. 16th ed. Bethesda: American Association of Blood Banks;429–430.
2. Booth PB, McLoughlin K. The Gerbich blood group system, especially in Melanesians. Vox Sang. 1972. 22:73–84.
Article
3. Walker PS, Reid ME. The Gerbich blood group system: a review. Immunohematology. 2010. 26:60–65.
Article
4. Daniels G, editor. Human Blood Groups. 2002. 2nd ed. Oxford: Blackwell publishing;426–443.
5. Hildebrandt M, Hell A, Etzel F, Genth R, Salama A. Determination and successful transfusion of anti-Gerbich-positive red blood cells in a patient with a strongly reactive anti-Gerbich antibody. Infusionsther Transfusionsmed. 2000. 27:154–156.
Article
6. Hadley A, Wilkes A, Poole J, Arndt P, Garratty G. A chemiluminescence test for predicting the outcome of transfusing incompatible blood. Transfus Med. 1999. 9:337–342.
Article
7. Mochizuki T, Tauxe WN, Ramsey G. In vivo cross-match by chromium-51 urinary excretion from labeled erythrocytes: a case of anti-Gerbich. J Nucl Med. 1990. 31:2042–2044.
8. Issitt PD, Anstee DJ, editors. Applied blood group serology. 1998. 4th ed. Durham: Montgomery Scientific Publications;559–579.
9. Baughn MR, Whitacre P, Lo GS, Pandey S, Lane TA. A mild acute hemolytic transfusion reaction in a patient with alloanti-Ge3: a case report and review of the literature. Transfusion. 2011. 51:1966–1971.
Article
10. Arndt PA, Garratty G, Daniels G, Green CA, Wilkes AM, Hunt P, et al. Late onset neonatal anaemia due to maternal anti-Ge: possible association with destruction of erythroid progenitors. Transfus Med. 2005. 15:125–132.
11. Okubo Y, Yamaguchi H, Seno T, Kikuchi M, Abe S, Ishijima A, et al. The rare red cell phenotype Gerbich negative in Japanese. Transfusion. 1984. 24:274–275.
Article
12. Issitt PD. Null red blood cell phenotypes: associated biological changes. Transfus Med Rev. 1993. 7:139–155.
Article
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