I know this is (probably) ridiculous but… we have
a patient on long-term transfusion support. He is B Rh(D) Pos Rh(E) Neg with
allo anti-E in his plasma. We’ve been supplying crossmatched ABO compatible (i.e. O or B) Rh(E) Neg K Neg for some
time. The chap is reasonably educated and understands more about blood group
serology than the average patient.
However…
Today he has asked if we could supply only B
blood. He is not bothered about the Rh(D) Pos or Rh(D) Neg bit and he
understands that each unit is crossmatched, but he is insistent that O blood
gives him a pain in his kidneys. Not a “proper” measurable-in-any-way reaction,
but just causes pain.
I posted onto the Facebook Blood Bank Interest Group to see if anyone else had experienced this, and whether it might just actually not be nonsensical. You can see the thread by clicking here. High titre anti-B, anti-HI… there might just be something in what the patient was saying (but we doubt it…)
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