Antibodies to low-prevalence antigens will be difficult to test for since most screen and panel cells do not have these antigens on the testing cells. Further testing may be needed at a reference laboratory where a larger selection of antibody panels are available to locate cells positive for these antigens.
Suspect an antibody to a low-prevalence antigen if:
- AHG crossmatch is incompatible and
- Other causes have been ruled out (i.e., positive donor DAT, ABO incompatibility)
Examples of antibodies to low-prevalence antigens are anti-f, anti-V, anti-Cw, anti-Kpa, anti-Jsa, and anti-Lua (highlighted in blue).
| Rh-Hr | Kell | Duffy | Kidd | Lewis | MNSs | Lutheran | |
Vial | Donor | D | C | c | E | e | f | V | Cw | K | k | Kpa | Kpb | Jsa | Jsb | Fya | Fyb | Jka | Jkb | Lea | Leb | M | N | S | s | Lua | Lub | IS | AHG | CC |
I | R1R1 | + | + | 0 | 0 | + | 0 | 0 | 0 | + | + | 0 | + | 0 | + | + | + | + | 0 | 0 | + | + | 0 | 0 | + | 0 | + | 0 | 0 | 2+ |
II | R2R2 | + | 0 | + | + | 0 | 0 | 0 | 0 | 0 | + | 0 | + | 0 | + | + | 0 | + | + | + | 0 | + | + | + | + | 0 | + | 0 | 0 | 2+ |
| Rh-Hr | Kell | Duffy | Kidd | Lewis | MNSs | P | Lutheran | |
Donor Cell Number | D | C | c | E | e | Cw | K | k | Kpa | Kpb | Jsa | Jsb | Fya | Fyb | Jka | Jkb | Lea | Leb | M | N | S | s | P1 | Lua | Lub | IS | AHG | CC |
1 | + | + | 0 | 0 | + | 0 | 0 | + | 0 | + | 0 | + | + | 0 | + | + | + | 0 | + | + | + | + | + | 0 | + | 0 | 0 | 2+ |
2 | + | + | 0 | 0 | + | + | + | + | 0 | + | 0 | + | + | + | 0 | + | 0 | + | 0 | + | + | + | + | 0 | + | 0 | 0 | 2+ |
3 | + | 0 | + | + | 0 | 0 | 0 | + | 0 | + | 0 | + | 0 | + | 0 | + | 0 | + | + | 0 | 0 | + | + | 0 | + | 0 | 0 | 2+ |
4 | + | 0 | + | 0 | + | 0 | 0 | + | 0 | + | 0 | + | 0 | 0 | + | 0 | 0 | + | + | + | + | 0 | + | 0 | + | 0 | 0 | 2+ |
5 | 0 | + | + | 0 | + | 0 | 0 | + | 0 | + | 0 | + | + | + | + | + | + | 0 | 0 | + | 0 | + | 0 | 0 | + | 0 | 0 | 2+ |
6 | 0 | 0 | + | + | + | 0 | + | + | 0 | + | 0 | + | 0 | + | + | + | 0 | + | + | + | + | + | 0 | 0 | + | 0 | 0 | 2+ |
7 | 0 | 0 | + | 0 | + | 0 | 0 | + | 0 | + | 0 | + | + | 0 | 0 | + | + | 0 | + | 0 | 0 | + | + | 0 | + | 0 | 0 | 2+ |
8 | 0 | 0 | + | 0 | + | 0 | 0 | + | 0 | + | 0 | + | + | + | 0 | + | 0 | + | + | + | + | + | 0 | 0 | + | 0 | 0 | 2+ |
9 | 0 | 0 | + | 0 | + | 0 | 0 | + | 0 | + | 0 | + | + | + | + | 0 | 0 | + | 0 | + | + | 0 | + | 0 | + | 0 | 0 | 2+ |
10 | + | 0 | + | 0 | + | 0 | + | + | 0 | + | 0 | + | 0 | + | 0 | + | 0 | + | 0 | + | + | 0 | + | 0 | + | 0 | 0 | 2+ |
AC | | | | | | | | | | | | | | | | | | | | | | | | | | 0 | 0 | 2+ |