03 June 2016

BLOOD TYPES MORE NUMEROUS THAN THOUGHT

SMITHSONIAN - BLOOD TYPE MORE COMPLICATED THAN YOU THINK   by Daniel A. Gross

EXCERPT:


You’re probably aware of eight basic blood types: A, AB, B and O, each of which can be “positive” or “negative.” They're the most important, because a patient who receives ABO +/– incompatible blood very often experiences a dangerous immune reaction. For the sake of simplicity, these are the types that organizations like the Red Cross usually talk about. But this system turns out to be a big oversimplification. Each of these eight types of blood can be subdivided into many distinct varieties. There are millions in all, each classified according to the little markers called antigens that coat the surface of red blood cells.


There are in fact hundreds of antigens that fall into 33 recognized antigen systems, many of which can cause dangerous reactions during transfusion. One person's blood can contain a long list of antigens, which means that a fully specified blood type has to be written out antigen by antigen—for example, O, r”r”, K:–1, Jk(b-). Try fitting that into that little space on your Red Cross card.