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KMID : 0387720090200020134
Korean Journal of Blood Transfusion
2009 Volume.20 No. 2 p.134 ~ p.137
A Case of Anti-Jka Whose Reactivity Was Abolished in an Enzyme Gel Test
Shin Jeong-Won

Chai Gum-Ran
Bang Hae-In
Park Ro-Jin
Choi Tae-Youn
Abstract
We report a case of anti-Jka, whose reactivity was abolished in an enzyme gel test. A 56-year-old woman was admitted to our hospital because of fever, myalgia, nausea and vomiting. Anti-Jka was detected by antibody screening and an identification test using a LISS/Coombs gel card (DiaMed AG, Cressier sur Morat, Switzwerland). Its reactivity was so weak (trace ¡­ 1+) that an Enzyme gel card (DiaMed AG) was added to enhance the reactivity. Unexpectedly, all reactions with the enzyme-treated cells showed negative results. The patient¡¯s RBC phenotype was Jk(a-b+). The abdominal CT revealed a 6¡¿7.5 cm sized liver abscess. Her condition improved after percutaneous catheter drainage and she was discharged on the 23rd hospital day.
KEYWORD
Anti-Jka, LISS/Coombs gel card, Enzyme gel card
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