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I Have A Lab Report I Would Like Reviewed By A Hematologist

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Posted on Wed, 29 Jan 2025
Question: Hello I have a lab report I would like reviewed by a Hematologist
doctor
Answered by Dr. Indranil Ghosh (6 hours later)
Brief Answer:
Sure

Detailed Answer:
Hi
please upload your report so that we can review it.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Indranil Ghosh (13 hours later)
Hello
More information

36 year old female no past medical hx . These were routine labs drawn as part of a panel for the patient freezing her eggs . Thank you .
doctor
Answered by Dr. Indranil Ghosh (2 hours later)
Brief Answer:
Antibodies present against red cells

Detailed Answer:
This report suggests that the patient has got antibodies in her serum, which are reacting with all red cells. Reason is unclear, previous transfusion or pregnancy can trigger this. Sometimes, no cause is found.

This has two implications, if patient needs transfusion, it may be difficult to find a blood donor whose blood is not reacting with her. And when she gets pregnant, and if Rh negative then the antibody or antibodies present must be identified. If she has a different antibody than anti D, then the RhIg injection can be given to prevent her from producing antibodies to the D antigen.

So, as suggested, we should send her blood to a specialised lab to find out the exact antigens to which she is reacting.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Indranil Ghosh (28 minutes later)
Hello does she need a direct Coombs test also ? I am concerned something else is going on . Her last CBC w diff was normal . No symptoms . No rheum disease known
doctor
Answered by Dr. Indranil Ghosh (9 hours later)
Brief Answer:
Direct coombs test done already

Detailed Answer:
The direct antiglobulin test, also known as direct coombs test is already done and it is negative. So it's not autoimmune probably.

Need to get assessed at specialised hematology center with experience on these.

Regards
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1709 Questions

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I Have A Lab Report I Would Like Reviewed By A Hematologist

Brief Answer: Sure Detailed Answer: Hi please upload your report so that we can review it. Regards