KMID : 0387720090200020134
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Korean Journal of Blood Transfusion 2009 Volume.20 No. 2 p.134 ~ p.137
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A Case of Anti-Jka Whose Reactivity Was Abolished in an Enzyme Gel Test
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Shin Jeong-Won
Chai Gum-Ran Bang Hae-In Park Ro-Jin Choi Tae-Youn
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Abstract
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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.
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KEYWORD
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Anti-Jka, LISS/Coombs gel card, Enzyme gel card
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