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Updated: May 24, 2026

Methods for Quantitative Detection of Antibody-induced Complement Activation on Red Blood Cells
Published on: January 29, 2014
An unusual case of an acute hemolytic transfusion reaction caused by an autoanti-I
Nay Win1, Malcolm Needs, Sally Rahman
1Red Cell Immunohaematology, NHSBT-Tooting Centre, 75, Cranmer Terrace, Tooting, United Kingdom SW17 0RB.
Abstract:
In general, naturally occurring cold autoagglutinins react optimally at low temperatures. We describe a young child who experienced an acute hemolytic transfusion reaction by an unusual autoanti-I. The IgM autoanti-I was detected at 4°C (titer 256) and also reacted at 30°C. This case highlights the potential hazard of transfusing units of blood immediately upon removal from the blood refrigerator, especially into neonates and children of small stature.
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