RH BLOOD GROUP SYSTEM Flashcards
Lecture
HDN also known as
Erythroblastosis Fetalis
Rh system refers to a specific red blood cell antigen
D antigen
Rh system genes are found on what chromosome
Chromosome 1
Rh antigens reside on
Proteins
Rh antibodies are produced after exposure to
Foreign red blood cells (IMMUNE ANTIBODIES)
In 1939, _ and _ described a hemolytic transfusion reaction in an obstetrical patient
Levine and Stetson
Syndrome in Fetus in now referred to as
Hemolytic Disease of the Fetus and Newborn
Erythroblastosis Fetalis (HDN) linked with _ by Levine in 1941
Anti-RH
Rh system IDENTIFIED by _ and _ in 1940
Landsteiner and Wiener
Landsteiner and Wiener reported on an antibody made by _ and _ when they were transfused with rhesus monkey RBCs
Guinea pigs and rabbits
Suggested that antigens are determined by 3 pairs of genes which occupy closely linked loci
Fisher-Race: The DCE terminology
Amorph gene
d
Rh phenotype in Fisher-Race is reported as
DCE
The gene d is assumed to be present when _ is absent
D
Type of inheritance in Fisher-Race
Codominance
A person expressing no Rh antigens
Rh null (-/-)
A person exhibiting a deletion phenotype represented by a (-)
Rh deletion
Weakened expression of all Rh antigens
Rh mod phenotype
Nature of Rh antigens
Glycoproteins
Suggested that Rh gene produces at least three factors within an agglutinogen (Antigen)
Wiener: The Rh-Hr Terminology
Each agglutinogen has _ factors (antigens or epitopes
3
Suggests a nomenclature based only on serologic (agglutination) reactions
No genetic assumptions are made
Rosenfield and Coworkers: Alpha/ Numeric Terminology
Treatment for Erythroblastosis Fetalis induced Jaundice
Phototherapy
Bilirubin (^) induced brain dysfunction
Kernicterus