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 |