Korean J Blood Transfus.  2003 Dec;14(2):240-245.

Two Cases of ABO Discrepancy due to Hypogammaglobulinemia

Affiliations
  • 1Department of Laboratory Medicine, Kangwon National University College of Medicine, Chuncheon, Korea.
  • 2Department of Internal Medicine, Kangwon National University College of Medicine, Chuncheon, Korea.
  • 3Department of Laboratory Medicine, Korea University College of Medicine, Seoul, Korea.
  • 4Department of Anatomy, Korea University College of Medicine, Seoul, Korea.

Abstract

Two cases of ABO discrepancy were observed in thirty-year old woman with gall bladder abscess and fifty-five-year old woman with hepatocellular carcinoma. Their red cells were typed as group O and their serum had only anti-A antibody. Absence of A and B antigens on their RBCs were confirmed by adsorption elution test and saliva test. The B transferase activities were not demonstrated in their serum. Their ABO genotypes were O/O by sequence specific polymerase chain reaction. Their serum protein electrophoresis showed hypogammaglobulinemia pattern, and immunoglobulin levels (IgG, IgA, IgM) were decreased (39 mg/dL, 46 mg/dL, <5 mg/dL and 63 mg/dL, 65 mg/dL, 12 mg/dL, respectively).

Keyword

ABO discrepancy; Hypogammaglobulinemia; B transferase activity; ABO genotype

MeSH Terms

Abscess
Adsorption
Agammaglobulinemia*
Carcinoma, Hepatocellular
Electrophoresis
Female
Genotype
Humans
Immunoglobulin A
Immunoglobulins
Polymerase Chain Reaction
Saliva
Transferases
Urinary Bladder
Immunoglobulin A
Immunoglobulins
Transferases
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