Description

Phenotypic markers can provide limited assistance in identifying the origin of mixed-up patient specimens.


 

Phenotypic markers cannot positively identify the identity of the donor. They can help:

(1) determine if a specimen is not from a patient (by demonstrating a feature that could not be from the patient)

(2) determine the probable donor if two specimens from two definite sources are mixed-up

 

Phenotypic tests to separate blood specimens between a male and female:

(1) Barr body in neutrophils

(2) serum PSA in male

(3) serum HCG in pregnant female

 

Phenotypic markers for a blood specimen:

(1) ABO typing

(2) other red blood cell markers (Rh, Kell, Duffy, etc.) depending on antigen typing antisera available

(3) presence of drug from known drug dosage

(4) presence of a unique antibody

(5) HLA typing

 

Phenotypic tests to separate tissue specimens between a male and female:

(1) biopsy from gender specific organ (endometrium, prostate, ovary, etc.)

 

Phenotypic markers for a tissue specimen:

(1) immunostaining for A, B and H antigens (stain erythrocytes, blood vessels, gastric mucous cells and other cells)

 


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