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You Really “Oughta” Get This

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Immunohematology and Transfusion Medicine

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Abstract

A 20-year-old female with a history of systemic lupus erythematosus and idiopathic (immune) thrombocytopenic purpura (ITP), who received intravenous Rh immune globulin (RhIg) 1 year ago for treatment of ITP and has no prior history of red blood cell (RBC) transfusion or pregnancy, is found to have a hematocrit (Hct) level of 15 %. The patient was referred to the emergency department by her primary care physician for stat RBC transfusion of two units. A type and crossmatch sample (ethylenediaminetetraacetic acid, EDTA anticoagulant) is submitted to the blood bank.

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Recommended Reading

  1. Leger RM. The positive direct antiglobulin test and immune-mediated hemolysis. In: Roback JD, Grossman BJ, Harris T, Hillyer CD, editors. Technical manual. 18th ed. Bethesda: AABB; 2014. p. 425.

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  2. Scaradavou A, Woo B, Woloski BMR, et al. Intravenous anti-D treatment of immune thrombocytopenic purpura: experience in 272 patients. Blood. 1997;89(8):2689–700.

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Authors and Affiliations

  1. St. Luke’s-Roosevelt Hospital and Beth Israel Medical Centers Department of Pathology, Blood Bank and Transfusion Service, The Mount Sinai Health System, New York, New York, USA

    Mark T. Friedman

  2. Department of Transfusion Medicine, National Institutes of Health Clinical Center, Bethesda, Maryland, USA

    Kamille A. West

  3. St. Luke’s-Roosevelt Hospital and Beth Israel Medical Centers Department of Pathology, The Mount Sinai Health System, New York, New York, USA

    Peyman Bizargity

Authors
  1. Mark T. Friedman
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  2. Kamille A. West
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  3. Peyman Bizargity
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Correspondence to Mark T. Friedman .

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© 2016 Springer International Publishing Switzerland

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Friedman, M., West, K., Bizargity, P. (2016). You Really “Oughta” Get This. In: Immunohematology and Transfusion Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-22342-1_6

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  • DOI: https://doi.org/10.1007/978-3-319-22342-1_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22341-4

  • Online ISBN: 978-3-319-22342-1

  • eBook Packages: MedicineMedicine (R0)

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