International Journal of Clinical and Diagnostic Pathology

International Journal of Clinical and Diagnostic Pathology

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Vol. 7 Issue 2 Part A

2024, Vol. 7 Issue 2, Part APages: 47-50

Investigation of weak d phenotype frequency in blood donors and patients: A tertiary care hospital study

Dr. Shruti Bharatbhai Patel, Dr. Ankita Dipakkumar Solanki, Dr. Pooja Pravinsinh Padheria and Dr. Moxda Suresh Patel
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ABSTRACT
Background and objectives: RhD is the most important and complex blood group system after ABO bloodgroup system for transfusion purpose. Weak D refers to reduced expression of D antigen on red blood cells. Our study is designed to determine the frequency of weak D antigen among healthy donors and patients coming to our tertiary care hospital which is important while labelling the donor and patient; as the donor is labelled D positive, patient as D negative also to highlight its clinical implications related to risk of alloimmunization in blood recipients having RhD negative blood group. The probable cause for reduced antigen D expression could be missense mutations seen in alleles of all weak D type.
Material and Methods: In our centre all blood donors and patients samples are tested for ABO and RhD using anti-D IgM monoclonal and a blend anti-D IgM and IgG reagents. The blood samples which were negative for agglutination by immediate spin method were further tested for weak D using IgG anti-D in the IAT phase with LISS/Coomb’s gel card.
Results: A total 54222 blood samples were tested(4977 donors, 49245 patients) during the period of January 2023 to December 2023.Among these 51242 were Rh D positive(94.50%) and remaining 2180 (4.02%) were Rh D negative. A total of 80 were weak D positive constituting 3.66% of Rh D negative and 0.147% of total individual screened.
Conclusion: This study shows the prevalence of weak D antigen in our population and to inform them about their status as donor and recipient of blood to prevent the hazards of blood transfusion.


International Journal of Clinical and Diagnostic Pathology
How to cite this article:
Dr. Shruti Bharatbhai Patel, Dr. Ankita Dipakkumar Solanki, Dr. Pooja Pravinsinh Padheria, Dr. Moxda Suresh Patel. Investigation of weak d phenotype frequency in blood donors and patients: A tertiary care hospital study. Int J Clin Diagn Pathol 2024;7(2):47-50. DOI: 10.33545/pathol.2024.v7.i2a.569
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