Case 69

1. Prepared by: Kristen Buban, MLS(ASCP)CM
Reviewed by: Lorraine Blagg, MA, MLS(ASCP)CMSBB

Clinical VignetteA young adult female presented to maternal fetal medicine for routine prenatal care for a new pregnancy. She has a history of prior pregnancies and thrombocytopenia requiring platelet transfusion in the past. A type and screen was submitted with the following results:

Antibody Identification Panel by Solid Phase Red Cell Adherence Assay:
Antibody Identification Panel by Gel Column Method:
A direct antiglobulin test (DAT) because the autocontrol was positive with the following results.
Finally, a saline screen was performed:
Question:
What additional testing could be performed in order to rule out any underlying clinically significant antibodies?