Time for my second BTLP of the month. I was presented with one case – a seventy-one year-old chap in the out-patients department requiring Group & Save prior to a splenectomy.
He grouped as AB Rh(D) Positive with an antibody screen positive in cells 2 & 3.
I requested antibody panels.
The enzyme panel and IAT panel were both negative in the first two
cells and was positive in cells 3-10. This would be anti-c but doesn’t exclude
anti-E, anti-Lu(a) or anti-Kp(a)
(As I’ve mentioned before, anti Lu(a) is not covered in the
screening antigram.)
I got the green light…
