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A maternal warm-reactive autoantibody presenting as a positive direct antiglobulin test in a neonate.
MedLine Citation:
PMID:  15387790     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Autoimmune hemolytic anemia in pregnancy is a rare cause of hemolytic disease of the newborn. This report describes a neonate with a mild hemolytic process and a positive direct antiglobulin test (DAT) presenting as the first manifestations of a maternal warm-reactive autoantibody. A full-term male neonate, blood group O, had a strongly positive DAT and laboratory evidence suggestive of a mild hemolytic process. The neonate's mother was also group O and had a negative antibody screen. Umbilical cord blood testing revealed a panreactive eluate though the antibody was not detected in cord serum. The neonate's mother was also found to have a positive DAT. A panagglutinin was identified in an eluate of her red cells, although the autoantibody could not be detected in her serum by a variety of sensitive techniques. There was no clinical or laboratory evidence of maternal hemolysis.
Authors:
T D Williamson; L H Liles; D P Blackall
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Immunohematology / American Red Cross     Volume:  13     ISSN:  0894-203X     ISO Abbreviation:  Immunohematology     Publication Date:  1997  
Date Detail:
Created Date:  2004-09-24     Completed Date:  2005-03-15     Revised Date:  2008-04-08    
Medline Journal Info:
Nlm Unique ID:  8806387     Medline TA:  Immunohematology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  6-8     Citation Subset:  -    
Affiliation:
Blood Bank, The Regional Medical Center at Memphis, Memphis, Tennessee, USA.
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