1. Introduction. The anti-PP1Pk, previously known as anti-Tja, is a natural occurring antibody against P, P1 and Pk red cell antigens. Individuals in which these antigens are absent are known as having a p phenotype [].This phenotype is extremely rare, with an estimated worldwide prevalence of 5.8:10 6 [].. The anti-PP1Pk antibody has been associated with recurrent miscarriages, mainly in the.. Acute hemolytic transfusion reaction by anti-P1 antibody in pregnancy. Acute hemolytic transfusion reaction by anti-P1 antibody in pregnancy Am J Hematol. 2005 Feb;78(2):163-4. doi: 10.1002/ajh.20264. Authors Beenu Thakral, Prasun Bhattacharya, Naveen Agnihotri, R R Sharma, Neelam Marwaha, Sarla Gopalan. PMID: 15682413.

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The anti-P1 antibody, often present in P2 individuals, is rarely reported as a cause of severe acute or delayed HTRs (Table 1). Recently, Smith et al. reported a clinically mild acute HTR (AHTR) in a young man caused by an IgM anti-P1 antibody reactive at 37°C. The patient was transfused with 2 PRBC units, assigned through the capture-R solid.. When women lacking these antigens are exposed to them through transfusion or pregnancy, antibodies can be generated which react either as anti-P1, anti-P k, or anti-P. An exposed woman missing all.