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Chapter 19 Blood  691

Figure 19–6  Blood Types and Cross-Reactions.

                    Type A                                  Type B                               Type AB                         Type O

   Type A blood has RBCs with             Type B blood has RBCs with             Type AB blood has RBCs with     Type O blood has RBCs lacking
   surface antigen A only.                surface antigen B only.                both A and B surface antigens.  both A and B surface antigens.

                               Surface                                Surface
                               antigen A                              antigen B

   If you have type A blood, your         If you have type B blood, your         If you have type AB blood,      If you have type O blood, your
   plasma contains anti-B                 plasma contains anti-A                 your plasma has neither         plasma contains both anti-A and
   antibodies, which will attack          antibodies, which will attack          anti-A nor anti-B antibodies.   anti-B antibodies.
   type B surface antigens.               type A surface antigens.

a Blood type depends on the presence of surface antigens (agglutinogens) on RBC surfaces. The plasma contains
   antibodies (agglutinins) that will react with foreign surface antigens.

                       RBC                                                                                                                        	19

                              +

   Surface antigens                       Opposing antibodies                    Agglutination (clumping)                     Hemolysis

b In a cross-reaction, antibodies react with their target antigens causing agglutination and hemolysis of the affected RBCs.

   Table 19–2   Differences in Blood Group Distribution

                                                                                 Percentage with Each Blood Type

Population                                     O                                 A B AB                                       Rh1

U.S. (AVERAGE)                                 46                                40 10                            4            85
   African American                            49                                                                              95
   Caucasian                                   45                                27 20                            4            85
   Chinese American                            42                                                                             100
   Filipino American                           44                                40 11                            4           100
   Hawaiian                                    46                                                                             100
   Japanese American                           31                                27 25                            6           100
   Korean American                             32                                                                             100
                                                                                 22 29                            6
                                                                                                                              100
                                                                                 46 5 3
                                                                                                                              100
                                                                                 39 21 10
                                                                                                                              100
                                                                                 28 30 10

NATIVE NORTH AMERICAN                          79                                16 4 1

NATIVE SOUTH AMERICAN                          100                               000

AUSTRALIAN ABORIGINE                           44                                56 0 0
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