Güncel Pediatri (Aug 2015)
A Rare Case; Hemolytic Disease of Newborn Associated with Anti-jkb
Abstract
Jka and Jkb antibodies (Kidd blood group system) can cause acute and delayed type transfusion reactions as well as hemolytic disease of newborn. Jka and Jkb antibodies are seen after events like blood transfusions, pregnancy, abortion and curettage. Hemolytic disease of newborn related to Kidd-Jkb incompatibility is rare and mostly has a good prognosis. The patient was consulted to our department because of 20 hours of jaundice after birth. He was treated with intensive phototherapy due to the high level of total-value bilirubin (17,6 mg/dl). Mother and patient were both B Rh (+). After direct coombs IgG +++ and C3d ++ values, further investigations were performed and mother had indirect coombs ++ and kidd antigen+. So, the newborn was diagnosed with hemolytic disease of newborn due to kidd incompatibility and was discharged on the fourth day of the treatment without sequel. In the literature serious cases are mentioned, mortality and disabilities are also seen. It is appropriate that pediatricians investigate the subgroup incompatibilities of newborns with hemolytic diseases without ABO and Rh incompatibility in early period, or those of newborns which are having a long respond concerning medical treatment.
