Weak D- Deficiency Flashcards

1
Q

About 1% of D-positive individuals type as

A

Weak D

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2
Q

former name of weak D antigen

A

Du

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3
Q

Is weak D a new antigen? Yes or No

A

No, not a new antigen because people did not produce anti-Du but anti-D

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4
Q

Red Cells fails to react or reacts weakly to agglutination tests (but will react in IAT)

A

Weak D (Quantitative)

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5
Q

Cells carrying a weak D antigen require the use of what test to demonstrate its presence?

A

Indirect antiglobulin test

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6
Q
A
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7
Q

Rh antigen on RBC is normal, but the steric arrangement of the C antigen in relationship to the D antigen appears to interfere with the expression of D antigen

A

C-trans RHD

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8
Q

From the inheritance of RHD genes that code for weakened expression of the D antige

A

Weak D (Quantitative

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9
Q

The changes does not alter or remove any D epitopes therefore production of anti-Rh is not possible

A

Weak D (Quantitative)

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10
Q

Weak D expression that is common in black

A

Weak D (quanti)

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11
Q

antibody production in this type of expression is less likely

A

Weak D

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12
Q

People with this blood type can receive D positive RBCs

A

C trans in RHD

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13
Q

One or more D epitopes within the entire D protein is missing or altered

A

Partial D

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14
Q

individuals who were type D-positive express this antigen but produced an anti-D that reacted with all D-positive samples except their own

A

Partial D

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15
Q

In partial D, If an individual lacks one or more pieces(epitopes), of the total D antigen, what can be made to the missing epitopes if exposed to RBCs that possess the complete D antigen.

A

alloantibody

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16
Q

classified the antigens

A

Patricia Tippett and Ruth Sanger

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17
Q

Tested anti-D sera from D-positive people with RBCs from other D-positive people who also made anti-D

A

Patricia Tippett and Ruth Sanger

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18
Q

Number of categories Patricia Tippett and Ruth Sanger assigned for antigen

A

7

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19
Q

Antibody that Patricia Tippett and Ruth Sanger used to classify antigen

A

monoclonal(MAb-D)antibodies

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20
Q

Resulting protein contains a portion of RhD and RhCE in various combinations

21
Q

Anti-D made by Partial D person can cause

A

HDN or HTR

22
Q

UseRh(-)blood for transfusion

23
Q

Rh type used for partial D blood transfusion

A

Rh negative

24
Q

D epitopes is found on the surface of this protein

A

RhCE protein

25
results from a hybrid gene“RHCE-RHD-RHCE”
R0Har – “DHAR”
26
Only a small portion of RHD is inserted into the RHCE gene
RoHar
27
If RoHar is paired with a normal RHD gene, the person will type
Rh positive
28
found in individuals of African descent
Crawford antigen (ceCF)(Rh43)
29
Due to a specific amino acid change in the Rhce gene
Crawford antigen
30
Results for an RhD epitope on the Rhce protein
Crawford
31
Phenotype in individuals whose RBCs possess an extremely low number of D antigen sites that most reagent anti-D are unable to detect
Del
32
Mutant, RHD gene that alters expression of the RhD protein
Del
33
In Del, splice site mutation happens in
exon 9 of RHD in Asians (or M295I mutation in whites)
34
high incidence in Hong Kong Chinese and Japanese people
Del
35
May be typed as D negative and can be found only when they stimulate production of anti-D in D negative individuals
Del
36
May require adsorbing and elution techniques
Del
37
process of gathering/pulling molecules onto the surface.
Adsorbing
38
process of removing molecules from a source or cellular
Elution
39
Have Rh negative with deletion of the RHD gene
European
40
Genes that are only available in Rh negative European
2 RHCE genes
41
Rh negative gene for Africans
RHD pseudogene (RHD ѱ)
42
Rh negative allele in Africans have 37 base pair insertion at the
intron3/exon4
43
Person with this gene does not produce RhD proteins
RHD pseudogene
44
RHD pseudogene in Africans does not produce this protein
RHD
45
Reagent use for indirect agglutination test
Coomb's reagent
46
Weak D positive reaction in indirect agglutination test
Agglutination
47
fail to express any Rh antigens on the RBC surface
Rhnull
48
Rhnull syndrome sign
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