In 5 patients of phenotype ccDEe or ccDEE, the transfusion of 2-14 U of C-positive
blood was followed 5-9 days later by haemoglobinuria lasting 2-4 days. Anti-C was
the only antibody present in all 5 cases but was always of low titre; with CC cells the maximum
titre recorded with the indirect antiglobulin test was 8 and with the agglutination of enzymetreated
cells, 128. The discordance between the weakness of the antibody in vivo and the amount
of haemoglobin released intravascularly is surprising but may be related to the type of IgG
molecule of which anti-C is composed.
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