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Partial D & Weak D

Partial D & Weak D Picking Up the Rhesus Pieces Susan T. Johnson, MSTM, MT(ASCP)SBB Director, Clinical Education BloodCenter of Wisconsin Heart of America Association of Blood Banks April 24, 2012 Objectives List the reasons for RhD typing discrepancies Discuss the biochemical and molecular characteristics of RhD & RHD Understand the differences among Partial , weak, Del variants and D epitopes on RhCe protein Describe the advantage of a molecular resolution of Rh discrepancies Rh DESIGNATION Rh Positive 85% Rh Negative 15% D D D D D D D D D RhD Typing Discrepancies RhD antigen expression RHD gene mutations Reagent differences Method variability CONTRIBUTORS OF VARIABILITY VARIABLES RHD Gene Weak D C in Trans to RHD Partial D Del D epitopes on RhCE Protein ceCF R0 Har or DHAR Anti-D Reagents Polyspecific Slide and Modified Tube Human IgG Monoclonal IgG Monoclonal IgM Monoclonal IgM Human IgG Monoclonal Blends Testing Platform Test Tubes IS & IAT Colu

Partial D & Weak D Picking Up the Rhesus Pieces Susan T. Johnson, MSTM, MT(ASCP)SBB Director, Clinical Education BloodCenter of Wisconsin Heart of America Association of Blood Banks

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