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Schalms- transfusion medicine
transfusion medicine
15
Veterinary Medicine
Post-Graduate
06/12/2017

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Cards

Term
Which of the DEA 1 (type A) erythrocyte antigens predominates in the USA?
Definition
DEA 1.1 (45%)

25% are DEA 1.2
Term
What blood type (in bitch and pups) is associated with neonatal isoerythrolysis in dogs?
Definition
DEA 1.1 negative bitch (sensitized by previous pregnancy or blood transfusion with DEA 1.1 positive RBC)

DEA 1.1 positive pups
Term
Which breed of dog is more likely to be DEA 3 (B system) and DEA 5 (D system) positive compared with the general US dog population?
Definition
Greyhounds (up to 23% were DEA 3 positive at michigan state), only 6% of the total dog population is DEA 3 positive
Term
Naturally occurring autoantibodies against which dog erythrocyte antigen exist in some (~20%) null dogs?
Definition
DEA 3 (B system)
Term
What dog erythrocyte antigen is reported on almost 100% of dogs in the USA?
Definition
DEA 6 (F system)
Term
Which of the dog erythrocyte antigens is a secreted protein, not an integral RBC membrane protein?
Definition
DEA 7 (Tr system)

expressed in 40-54% of dogs
Term
What is the actual molecular form the feline blood group antigens?
Definition
neuraminic acid on RBC membrane glycolipids and glycoproteins.

Type A have predominantly N-glycolyl-neuramic acid [NeuGc]2GD3

Type B have ONLY N-acetyl-neuramic acid (NeuAc)

Type AB have both (and there is likely more than one biochemical phenotype for AB which is why determine mode of inheritance has been challenging)
Term
Cats of which blood type develop a more severe transfusion reaction when administered incompatible RBC?
Definition
Type B cats given Type A blood can have rapid, fatal transfusion reactions

*Type A cats will have a transfusion reaction when administered Type B blood, but slower and mainly extravascular
Term
RBC from which farm animals are NOT prone to agglutination, even the in presence of anti-erythrocyte antigen antibodies?
Definition
Cattle, sheep, goat, llama, alpaca

**blood grouping assays for these species are hemolytic tests vs. horses and pigs in which blood grouping assays evaluate both hemolysis AND agglutination
Term
What equine blood types are most commonly associated with neonatal isoerythrolysis?
Definition
A and Q (negative mare, positive stallion and offspring)
Term
How many blood group factors have been recognized in horses?
Definition
34
Term
How many blood group factors have been recognized in sheep?
Definition
22
Term
What is a feature of the blood type of an ideal equine blood donor?
Definition
negative for highly antigenic factors (esp Aa and Qa)

** in order to prevent sensitization of negative mares and future issues with neonatal isoerythrolysis
Term
What is the best RBC donor for blood transfusion to a foal with neonatal isoerythrolysis?
Definition
the dam- although RBC must first be separate from the plasma (with antibodies against foal RBC) and washed and then resuspended in a suitable transfusion solution.

Although the mare's RBC are not likely compatible with the foal, they will be resistant to maternal Ab and should help maintain an adequate HCT until the material Ab are cleared and the foal can rebuild it's own RBC mass
Term
What is the relative frequency (using <25%, 45-55%, or >75%) of DEA 1.1, DEA 4, and Dal in the general dog population?
Definition
DEA 1.1 is 44-45%
DEA 4 >75%
Dal >75%
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