Irish Child Health Database - Peer Reviewed Papers
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False positive Kleihauer tests and unnecessary administration of anti-D immunoglobulin
Published in:
Clin Lab Haematol, Vol: 25, Page: 405-8
Publication Date:
December 2003
Aims & Objectives:
This obstetric case shows two false negative Kleihauer tests and two persistently positive Kleihauer tests leading to unnecessary administration of anti-D immunoglobulin
Abstract:
This obstetric case shows two false negative Kleihauer tests and two persistently positive Kleihauer tests leading to unnecessary administration of anti-D immunoglobulin. A diagnosis of hereditary persistence foetal haemoglobin (HPFH) was only confirmed by access to flow cytometry making use of both anti-HbF and anti-D labels. The case highlights the importance of a high index of clinical suspicion for HPFH and the importance of access to flow cytometry estimation of minor RhD red cell populations postnatally in RhD-negative mothers.
Authors:
Study Type:
Study Papers » Case Report Study » Descriptive Studies - Without a comparision
Categories:
unnecessary administration of anti-D immunoglobulin
International Classification:
Health service provision
Keywords:
- Adult
- Blood Group Incompatibility/ diagnosis
- Diagnostic Errors
- False Negative Reactions
- False Positive Reactions
- Female
- Fetal Hemoglobin/ analysis/immunology
- Fetomaternal Transfusion/blood/ diagnosis
- Flow Cytometry
- Fluorescein-5-isothiocyanate
- Hematologic Tests
- Hemoglobinopathies/blood/ diagnosis
- Humans
- Infant, Newborn
- Isoantibodies/blood/immunology
- Male
- Parity
- Pregnancy
- Pregnancy Complications, Hematologic/blood/ diagnosis
- Rh-Hr Blood-Group System/ immunology
- Rho(D) Immune Globulin/ therapeutic use
- Unnecessary Procedures
Geography:
Northern Ireland (Northern Ireland)

