Source:http://linkedlifedata.com/resource/pubmed/id/20644109
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
15
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pubmed:dateCreated |
2010-10-15
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pubmed:abstractText |
African individuals harbor molecular RH variants, which permit alloantibody formation to high-prevalence Rh antigens after transfusions. Genotyping identifies such RH variants, which are often missed by serologic blood group typing. Comprehensive molecular blood group analysis using 3 genotyping platforms, nucleotide sequencing, and serologic evaluation was performed on a 7-year-old African male with sickle cell disease who developed an "e-like" antibody shortly after initiating monthly red blood cell (RBC) transfusions for silent stroke. Genotyping of the RH variant predicted a severe shortage of compatible RBCs for long-term transfusion support, which contributed to the decision for hematopoetic stem cell transplantation. RH genotyping confirmed the RH variant in the human leukocyte antigen-matched sibling donor. The patient's (C)ce(s) type 1 haplotype occurs in up to 11% of African American sickle cell disease patients; however, haplotype-matched RBCs were serologically incompatible. This case documents that blood unit selection should be based on genotype rather than one matching haplotype.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1528-0020
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pubmed:author |
pubmed-author:FasanoRoss MRM,
pubmed-author:FlegelWilly AWA,
pubmed-author:KamaniNaynesh RNR,
pubmed-author:KleinHarvey GHG,
pubmed-author:Lee-StrokaA HallieAH,
pubmed-author:LubanNaomi L CNL,
pubmed-author:MarincolaFrancesco MFM,
pubmed-author:MeierEmily RiehmER,
pubmed-author:MonacoAlessandroA,
pubmed-author:OtridgeJohnJ,
pubmed-author:ParyPhilippeP,
pubmed-author:StroncekDavidD
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pubmed:issnType |
Electronic
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pubmed:day |
14
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pubmed:volume |
116
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2836-8
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pubmed:dateRevised |
2011-10-14
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pubmed:meshHeading |
pubmed-meshheading:20644109-African Americans,
pubmed-meshheading:20644109-Anemia, Sickle Cell,
pubmed-meshheading:20644109-Child,
pubmed-meshheading:20644109-Donor Selection,
pubmed-meshheading:20644109-Erythrocyte Transfusion,
pubmed-meshheading:20644109-Genotype,
pubmed-meshheading:20644109-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:20644109-Humans,
pubmed-meshheading:20644109-Male,
pubmed-meshheading:20644109-Polymorphism, Genetic,
pubmed-meshheading:20644109-Rh-Hr Blood-Group System
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pubmed:year |
2010
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pubmed:articleTitle |
RH genotyping in a sickle cell disease patient contributing to hematopoietic stem cell transplantation donor selection and management.
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pubmed:affiliation |
Children's National Medical Center, Washington, DC, USA.
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pubmed:publicationType |
Journal Article,
Case Reports
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