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The disease results when maternal antibodies to Kell 1 are transferred to the fetus across the placental barrier, breaching immune privilege. These antibodies can cause severe anemia by interfering with the early proliferation of red blood cells as well as causing alloimmune hemolysis. Very severe disease can occur as early as 20 weeks gestation.
Anti-A and anti-B antibodies are usually IgM and do not pass through the placenta, but some mothers "naturally" have IgG anti-A or IgG anti-B antibodies, which can pass through the placenta. Exposure to A-antigens and B-antigens, which are both widespread in nature, usually leads to the production of IgM anti-A and IgM anti-B antibodies but ...
Immune tolerance in pregnancy or maternal immune tolerance is the immune tolerance shown towards the fetus and placenta during pregnancy. This tolerance counters the immune response that would normally result in the rejection of something foreign in the body, as can happen in cases of spontaneous abortion .
1 Interpretation. Toggle Interpretation subsection ... Download as PDF; Printable version; In other projects ... Anti-mitochondrial antibodies (AMA) < 0.1 [168] 0.1-0 ...
The discrepancy can be resolved by testing the person's red blood cells with an anti-A 1 reagent, which will give a negative result if the patient belongs to the A 2 subgroup. Anti-A 1 antibodies are considered clinically insignificant unless they react at 37 °C (99 °F). Other subgroups of A exist, as well as subgroups of B, but they are ...
Immunoglobulin M (IgM) is the largest of several isotypes of antibodies (also known as immunoglobulin) that are produced by vertebrates. IgM is the first antibody to appear in the response to initial exposure to an antigen ; [ 1 ] [ 2 ] causing it to also be called an acute phase antibody.
The direct Coombs test detects antibodies that are stuck to the surface of the red blood cells. [1] Since these antibodies sometimes destroy red blood cells they can cause anemia; this test can help clarify the condition. The indirect Coombs test detects antibodies that are floating freely in the blood. [1]
The Kell group was named after the first patient described with antibodies to K 1, a pregnant woman named Mrs. Kellacher in 1945. [11] Mrs. Cellano was likewise a pregnant woman with the first described antibodies to K 2. The K 0 phenotype was first described in 1957 and the McLeod phenotype was found in Hugh McLeod, a Harvard dental student ...