Hattrick of H-deficient phenotypes at a tertiary care health center in India

H-deficient phenotypes, commonly known as Bombay blood type, have more inclination to be found in the Indian subcontinent, and conventional gold standard tube techniques are still the recommended method to identify them, provided a strict adherence to testing protocol. There is more to these phenoty...

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Main Authors: Yashaswi Dhiman, Basanta Khatiwada, Manish Raturi, Dushyant Singh Gaur, Rolika Nautiyal, Himanshu Rawat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Iraqi Journal of Hematology
Subjects:
Online Access:https://journals.lww.com/10.4103/ijh.ijh_53_24
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author Yashaswi Dhiman
Basanta Khatiwada
Manish Raturi
Dushyant Singh Gaur
Rolika Nautiyal
Himanshu Rawat
author_facet Yashaswi Dhiman
Basanta Khatiwada
Manish Raturi
Dushyant Singh Gaur
Rolika Nautiyal
Himanshu Rawat
author_sort Yashaswi Dhiman
collection DOAJ
description H-deficient phenotypes, commonly known as Bombay blood type, have more inclination to be found in the Indian subcontinent, and conventional gold standard tube techniques are still the recommended method to identify them, provided a strict adherence to testing protocol. There is more to these phenotypes than just the bombay blood type. This brief communication highlights the identification of three H-deficient phenotypes from a single center that adhered to standard operating procedures and basic testing methodologies. It emphasizes the requirement of indirect Coombs test with pooled “O” cells with blood grouping of every sample irrespective of the testing platform and also the H antigen typing on encountering any suspicion. These H-deficient individuals may not be as rare as we assume them to be provided there are reframed testing policies. Although international collaborations and databases like the International Society of Blood Transfusion database have made it easier to record and share knowledge on blood types, a National network and registries of these rare phenotypes are essential to make them available to the general population who actually benefit from them.
format Article
id doaj-art-9e3ad8ea9a1b4ede8711fceac029543a
institution Kabale University
issn 2072-8069
2543-2702
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Iraqi Journal of Hematology
spelling doaj-art-9e3ad8ea9a1b4ede8711fceac029543a2025-01-09T13:55:32ZengWolters Kluwer Medknow PublicationsIraqi Journal of Hematology2072-80692543-27022024-12-0113232833010.4103/ijh.ijh_53_24Hattrick of H-deficient phenotypes at a tertiary care health center in IndiaYashaswi DhimanBasanta KhatiwadaManish RaturiDushyant Singh GaurRolika NautiyalHimanshu RawatH-deficient phenotypes, commonly known as Bombay blood type, have more inclination to be found in the Indian subcontinent, and conventional gold standard tube techniques are still the recommended method to identify them, provided a strict adherence to testing protocol. There is more to these phenotypes than just the bombay blood type. This brief communication highlights the identification of three H-deficient phenotypes from a single center that adhered to standard operating procedures and basic testing methodologies. It emphasizes the requirement of indirect Coombs test with pooled “O” cells with blood grouping of every sample irrespective of the testing platform and also the H antigen typing on encountering any suspicion. These H-deficient individuals may not be as rare as we assume them to be provided there are reframed testing policies. Although international collaborations and databases like the International Society of Blood Transfusion database have made it easier to record and share knowledge on blood types, a National network and registries of these rare phenotypes are essential to make them available to the general population who actually benefit from them.https://journals.lww.com/10.4103/ijh.ijh_53_24bombay phenotypesh antigen testingh-deficient phenotypesindirect coombs testpooled “o”cells
spellingShingle Yashaswi Dhiman
Basanta Khatiwada
Manish Raturi
Dushyant Singh Gaur
Rolika Nautiyal
Himanshu Rawat
Hattrick of H-deficient phenotypes at a tertiary care health center in India
Iraqi Journal of Hematology
bombay phenotypes
h antigen testing
h-deficient phenotypes
indirect coombs test
pooled “o”
cells
title Hattrick of H-deficient phenotypes at a tertiary care health center in India
title_full Hattrick of H-deficient phenotypes at a tertiary care health center in India
title_fullStr Hattrick of H-deficient phenotypes at a tertiary care health center in India
title_full_unstemmed Hattrick of H-deficient phenotypes at a tertiary care health center in India
title_short Hattrick of H-deficient phenotypes at a tertiary care health center in India
title_sort hattrick of h deficient phenotypes at a tertiary care health center in india
topic bombay phenotypes
h antigen testing
h-deficient phenotypes
indirect coombs test
pooled “o”
cells
url https://journals.lww.com/10.4103/ijh.ijh_53_24
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AT dushyantsinghgaur hattrickofhdeficientphenotypesatatertiarycarehealthcenterinindia
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