Some Notes On The Rh And Hr Factors - Ncbi Page 3

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16
CALIFORNIA MEDICINE
Vol.
67,
No. 1
of the fetus in utero. In such an instance, the infant
would be unaffected. (b) An Rh-positive fetus pro-
ducing specific sensitization of the mother. In such
an instance, the infant might be afflicted with hemo-
lytic disease of the newborn.
3. If antibodies occur only within the last
few
weeks of pregnancy they may indicate initial sensi-
tization in a mother not previously exposed to the
Rh factor. In such an instance the infant might show
mild symptoms of hemolytic disease of the newborn
or be
clinically normal.
In regard to the prediction of hemolytic disease
of the newborn
it may
be stated that occasionally
hemolytic disease of the newborn may occur
in
off-
spring of women who do not demonstrate any
laboratory evidence of Rh sensitization. This occurs
in roughly 10 per cent of the instances of the disease
and is due to the A-B-O and Hr sensitization and
other mechanisms. On the other hand, a clinically
normal Rh positive child
may be
born
to an
Rh
negative mother who shows abundant evidence of
current Rh sensitization.
REFERENCES
1. Cappell, D. F.: The Blood Group Rh, Brit. Med. Jour.,
2:601 and 641 (Oct. 26 and Nov. 2), 1946.
2. Davidsohn, I.: Rh Antibodies, Amer. J. Clin. Path.,
15:95-105 (March), 1945.
3. Diamond, L. K., and Denton, R. L.: Rh Agglutination
in Various Media with Particular Reference to the Value of
Albumin, J. Lab. and Clin. Med., 30:821-830 (Oct.), 1945.
4. Diamond, L. K., and Abelson, N. M.: The Detection
of Rh Sensitization: Evaluation of Tests for Rh
Antibodies,
J. Lab. and Clin. Med., 30:668-674 (Aug.), 1945.
5. Fisher, R. A., and Race, R. R.: Rh
Gene Frequencies
in Britain, Nature, 157, p. 48 (Jan. 12), 1946.
6. Hill, J. M., and Haberman, S.: Demonstration of Rh
Antibodies in the Newborn and Further Evidence of the
Pathogenesis of Erythroblastosis, Jour. Lab. and Clin. Med.,
31:1053-1066 (Oct.), 1946.
7. Howard, J., Lucia, S. P., Hunt, M. L., and Mclvor, B. C.:
The Clinical Significance of Rh Antibodies (Rh Agglutinins
and Blocking Antibodies)
in
the Sera of Rh-negative Moth-
ers: A Study of 176
Cases, Amer. Jour. Obst. & Gynec.,
53:569-595 (Apr.), 1947.
8.
Wiener, A. S.:
A New Test
("Blbcking Test") for
Rh
Sensitization,
Proc. Soc. Exp. Biol. & Med., 56:173-176
(June),,
1944.
9. Wiener, A. S.: Conglutination Tests for Rh Sensitiza-
tion, Jour. Lab. & Clin. Med., 30:662-667 (Aug.), 1945.
10.
Wiener, A. S.: Recent Developments
in
the Knowledge
of the Rh-Hr Blood
Types: Tests
for Rh
Sensitization,
Am.
J. Clin. Path., 16:477-497,
1946.

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