30 May 2014 (Friday) - Bone Marrow Transplants

I had a couple of rather odd blood groups this week. Having torn my hair out and cried, it transpired that both cases were both post bone marrow transplants.



The first was blood group O Pos which is in the throes of becoming B Pos

The second was A Neg which is going to end up as A Pos but has somehow lost the naturally occurring anti-B along the way.
 
Fortunately for my sanity the reference laboratory sends detailed instructions on how to consider the patient and on what blood products they should be given.

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