Polyagglutination Flashcards

(29 cards)

1
Q

What is polyagglutination?

A

Agglutination of altered RBCs by the majority of normal serum

Polyagglutination is a phenomenon that occurs when normal serum reacts with altered red blood cells (RBCs).

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2
Q

What causes the alteration of RBCs in polyagglutination?

A

Bacterial enzymes or congenital disorders reveal cryptantigens

These alterations can occur due to various factors that expose cryptantigens on the RBC surface.

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3
Q

What are polyagglutinins?

A

Polyagglutinins are antibodies that react with altered RBCs, typically of the IgM class.

IgM and naturally occurring

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4
Q

How are cryptantigens identified?

A

Using a panel of lectins

Lectins are proteins that bind to specific carbohydrates and are used in the laboratory to identify different cryptantigens.

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5
Q

What are examples of microbial induced polyagglutination?

A

I, Th, Tk, Tx, Acquired B, and VA

These are specific types of polyagglutination that occur due to microbial influences.

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6
Q

What is Tn polyagglutination associated with?

A

A stem cell mutation

Tn polyagglutination is linked to genetic changes at the stem cell level affecting RBC antigens.

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7
Q

What are some inherited forms of polyagglutination?

A

Cad, Hemoglobin M-Hyde Park, HEMPAS, and NOR

These inherited conditions result in the expression of cryptantigens that lead to polyagglutination.

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8
Q

What are the different types of polyagglutination?

A

Microbial induced (acquired), stem cell mutation, & inherited

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9
Q

What type of polyagglutination is associated with Pneumocci, Vibrio cholera, & Clostridium perfringes?

A

T

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10
Q

What type of polyagglutination is associated with Clostridia, Bacteroides, E. coli, Proteus

A

Th

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11
Q

What type of polyagglutination is associated with Bacteroides fragilis, Serratia marcescens, Aspergillus niger, Candida albicans?

A

Tk

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12
Q

What type of polyagglutination is only associated with Pneumococci?

A

Tx

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13
Q

What type of polyagglutination is only associated with E. coli?

A

Acquired B

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14
Q

What type of polyagglutination is associated with the enzyme neuraminidase?

A

T & Th

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15
Q

What type of polyagglutination is associated with the enzyme deacetylase?

A

Acquired B

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16
Q

What type of polyagglutination is associated with Endo & Exo beta-galactosidase?

17
Q

Tn polyagglutination is associated with the lack of what enzyme?

A

Then is associated with the lack of beta-3-delta-galactosyl transferase. It is the mutation of hematopoietic tissue.

18
Q

T activation of red cells is caused by the action of _________, which is produced by Clostridium perfringes.

a. Amylase
b. Lactase
c. Peptidase
d. Neuraminidase

A

Neuraminidase

19
Q

Anti-Nor is what class of immunoglobulin?

20
Q

The following reactions are consistent with which type of polyagglutination: glycine soja - positive
arachnid hypogaea - positive
dilochos biflorus - negative
salvia sclarea - negative
salvia horminum - negative

A

T is positive with glycine soja & arachnid hypogaea.

21
Q

The following reactions are consistent with which type of polyagglutination: glycine soja - negative
arachnid hypogaea - positive
dilochos biflorus - negative
salvia sclarea - negative
salvia horminum - negative
polybrene - positive

A

Th is positive with arachnid hypogaea & polybrene.

22
Q

The following reactions are consistent with which type of polyagglutination: glycine soja - positive
arachnid hypogaea - negative
dilochos biflorus - positive
salvia sclarea - positive
salvia horminum - positive
polybrene - positive

A

Tn is reactive with
glycine soja
dilochos biflorus
salvia sclarea
salvia horminum
polybrene

23
Q

What type of polyagglutination is positive with anti-Sda?

24
Q

What type of polyagglutination is positive with Griffonia simplifolia ?

25
How should someone with polyagglutinatinable red cells be transfused?
They should be transfused with washed RBCs.
26
What substance acts by binding to carbohydrate determinants and agglutinating red cells by reacting with cell surface oligosaccharides?
Lectins
27
Why are newborns not affected by hemolysis associated with polyagglutination?
Maternal IgM antibodies don’t cross placenta
28
A patient with T polyagglutination lacks what in their sera?
anti-T
29
Differentiate polyagglutination from panagglutination.
Polyagglutination is agglutination of altered red cells by ABO compatible adult (normal) human serum. Panagglutination is when all cells are positive including the autocontrol