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Comparison of Rh and ABO Hemolytic Disease

Rh Hemolytic Disease ABO Hemolytic Disease
Clinical Features Frequency Uncommon Common
Pallor Significant Mild
Edema Common Rare
Jaundice Severe Mild to Moderate
Hepatosplenomegaly Significant Mild
First Pregnancy Affected Rare About Half
More Severe in Subsequent Pregnancies Most Not Necessarily
Late Anemia Possible Rare
Laboratory Findings Maternal Blood Type Rh d, e, c O (Most)
Fetal Blood Type Rh D, E, C A or B (Most)
Anemia Significant Mild
Direct Antiglobulin Test Positive Modified Positive
Direct Antiglobulin Test Positive Positive
Red Cell Morphology Increased Nucleated Red Cells Increased Spherocytes
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