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Transfusion support during childbirth for a woman with anti-U and the RHD*weak D type 4.0 allele Cover

Transfusion support during childbirth for a woman with anti-U and the RHD*weak D type 4.0 allele

Open Access
|Mar 2021

Figures & Tables

Clinical laboratory results for mother and neonate

TestResults (normal range)
Maternal  
Transfusion medicine  
  ABO groupB
  RhD phenotypeSerologic weak D phenotype: 2 + reaction strength
  RhCE phenotypeC–E–c+e+
  Antibody screenAnti-U
  DATNegative
  Red cell genotyping  
    RHD allele RHD*weak D type 4.0
    RHD zygosityHemizygous
Hematology  
  Hemoglobin, g/dL 
    Antepartum9.8 (10.0–15.0)
    Postpartum8.9 (10.0–15.0)
Neonatal  
Transfusion medicine §  
  ABO groupB
  RhD phenotypeD+
  RhCE phenotypeC–E–c+e+
  DATNegative
  Red cell genotyping§  
    RHD allele RHD*weak D type 4.0 and normal RHD
    RHD zygosityCompound heterozygous
Hematology  
  Hemoglobin, g/dL17.6 (14.0–24.0)
  Unconjugated bilirubin, mg/dL 
    At birth4.9 (<6)
    4 hours after birth5.5 (<6)
  Reticulocyte count, %4.46 (3.0–7.0)

Single nucleotide variants detected in the RHD gene

RHD genotype
LocationNucleotide change*dbSNP reference numberProtein residue change Mother Neonate
Promoter−368a>grs28710826NAg/ga/g
Intron 2336−76_−75−>insTGAArs112473736NAinsTGAA/insTGAAinsTGAA/−
Intron 3487−414a>grs28586271NAg/ga/g
 487−316t>grs28572396NAg/gt/g
Exon 4602C>Grs1053355Thr201ArgG/GC/G
Exon 5667T>Grs1053356Phe223ValG/GT/G
Intron 5801+219 t> grs28510210NAg/gg/g
 801+395g>ars145236797NAa/ag/a
 802−16c>trs201120463NAt/tc/t
Exon 6819G>Ars150606530Ala273AlaA/AG/A
Intron 6939+295c>ars112222730NAc/cc/a
Intron 71073+94g>ars533903485NAa/ag/a
 1073 + 311g> crs3118453NAc/cc/c
DOI: https://doi.org/10.21307/immunohematology-2021-001 | Journal eISSN: 1930-3955 | Journal ISSN: 0894-203X
Language: English
Page range: 1 - 4
Published on: Mar 31, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Q. Yin, K. Srivastava, D.G. Brust, W.A. Flegel, published by American National Red Cross
This work is licensed under the Creative Commons Attribution 4.0 License.