For the start of the case scroll below… or click https://teamhaem.wordpress.com/2014/01/26/case-19-the-beginning/
Our team have come up with some good points.
- Could a paroxysmal haemoglobinuria clone has occurred causing haemolysis
- Haemolysis can rarely be associated with myelodysplasia
The patient now has symptomatic anaemia and the team feel a transfusion is needed. A group and antibody screen is sent and the lab call to say that the antibody screen is now positive as well as a DAT. The previous antibody screens had been negative and she is group A RhD positive.
- Does this have implications for transfusion?
- What has happened to the patient?
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