Immunohematology

Blood Types

Blood typing, incompatibility and donor selection in dogs and cats.

Typing identifies antigens; crossmatching assesses reactions between donor and recipient samples. Neither test replaces the other.

Dog

System / typeAntibodiesFrequencyClinical relevance
DEA 1AcquiredAcquired anti-DEA 1DEA 1 positive: approximately 33–65%, depending on region (MSD).Classify as positive or negative. Negative recipients should receive negative red cells; prioritise type matching.
DEA 3VariableVariable reportsVaries by populationMay contribute to incompatibility beyond DEA 1. Crossmatching helps investigate antibodies not covered by routine typing.
DEA 4AcquiredSensitization possibleVaries by populationA common antigen. DEA 4 positivity does not define a universal donor.
DEA 5VariableVariable reportsVaries by populationMay contribute to incompatibility; the significance of natural antibodies remains debated.
DEA 7VariableVariable reportsVaries by populationNatural antibodies have been reported, but frequency and clinical significance vary across studies.
DalAcquiredSensitization possibleMost dogs are Dal positive; frequency varies by breed.A negative donor may be difficult to find: most dogs express this antigen. Negative recipients may become sensitized after positive blood.
Kai 1Study dataNot detected in the 2016 sample94% of 503 dogs (North America, 2016)An antigen distinct from DEA; common in the 2016 North American sample.
Kai 2Study dataNot detected in the 2016 sample1% of 503 dogs (North America, 2016)An antigen distinct from DEA; uncommon in the 2016 North American sample.

Cat

System / typeAntibodiesFrequencyClinical relevance
ANatural anti-B, variableMost frequent in many populations.Use type-matched red cells and assess compatibility.
BNatural anti-AVaries particularly by breed and region.Anti-A antibodies can cause severe haemolysis. Type B recipients need type B red cells.
ABNo natural anti-A/anti-BRare.Uncommon; plan product selection with the blood bank and assess compatibility.
Mik / FEA 1–5Additional incompatibilities possiblePopulation dependentAntigens outside the AB system can explain incompatibility. FEA 1 may correspond to Mik; these are not five new AB-system types.

Type frequencies vary by population and region; no universal percentage applies to each patient.

Natural: may exist before transfusion. Acquired: may develop after antigen exposure.

Before selecting the unit

  1. Review transfusion history, including reactions and products used.
  2. Confirm identification and typing of donor and recipient.
  3. Interpret crossmatching with the laboratory and clinical context.
  4. Do not infer type or safety from breed, appearance or population frequency.

Educational use: product selection, volume and rate require individual veterinary assessment. Follow your service protocol and supplier instructions.

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