Variable reactivity of Rh D antigen and its serological characterization

Sreelekshmi S, Shamee Shastry, Poornima Baliga B

Research output: Contribution to journalArticle

Abstract

Background: Variation in the reactivity on Rh D typing may pose challenges in interpretation and ambiguity in further patient management. Materials and Methods: A prospective study was conducted in the department of transfusion medicine for a period of 18 months. Blood grouping was performed by fully automated equipment employing column agglutination technique. All the samples with Rh D negative or discrepant reactions were subjected to weak D testing by the antihuman globulin testing method. Samples that tested positive were categorized as serological weak D type or Variant D and were further phenotyped with Partial D typing set with 6 monoclonal anti D antisera. Results: A total of 82,824 samples were tested for Rh D type during the study period. Of the study population, 65.7% were males. On Rh D type majority were Rh D positive (93%), 6.9% were negative, and the result was discrepant in 0.1% (70) samples. The overall prevalence of variant D was 1.28% (75) of the Rh D negative population and 0.09% of the total study population. The detection rate of variant D phenotype was significantly higher by the Column agglutination technique. Upon testing with Partial D kit, the partial D variant in the majority reacted wil all the 6 antisera and hence we could not rule out DIII(60%), in rest it was inconclusive. In 43% of subjects with Rh D discrepancy ‘C’ antigen was found in a homozygous state. Conclusion: The introduction of partial D typing kit alone may not help in the absolute characterization of variant D. Extended serological testing and selective integration of molecular testing is the need of the hour.

Original languageEnglish
JournalActa Clinica Belgica: International Journal of Clinical and Laboratory Medicine
DOIs
Publication statusAccepted/In press - 01-01-2020

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this