{"id":"https://openalex.org/W7223146809","doi":"https://doi.org/10.1016/j.htct.2026.106993","title":"INCOMPATIBILIDADE MATERNO-FETAL POR ANTICORPO CONTRA ANT\u00cdGENO DE ALTA FREQU\u00caNCIA: ANTI-DIEGO(B) - RELATO DE CASO","display_name":"INCOMPATIBILIDADE MATERNO-FETAL POR ANTICORPO CONTRA ANT\u00cdGENO DE ALTA FREQU\u00caNCIA: ANTI-DIEGO(B) - RELATO DE CASO","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223146809","doi":"https://doi.org/10.1016/j.htct.2026.106993"},"language":"en","primary_location":{"id":"doi:10.1016/j.htct.2026.106993","doi":"https://doi.org/10.1016/j.htct.2026.106993","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.106993","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2531137926007406/pdf","source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.sciencedirect.com/science/article/pii/S2531137926007406/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103934847","display_name":"Raylan Golinski Costa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Raylan Golinski COSTA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5097713141","display_name":"Violete Petitto Laforga","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Violete Petitto LAFORGA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054550465","display_name":"Bruno Ribeiro Cruz","orcid":"https://orcid.org/0000-0001-6940-0262","observed_orcids":["https://orcid.org/0000-0001-6940-0262"]},"institutions":[{"id":"https://openalex.org/I68207295","display_name":"Universidade Estadual de Ponta Grossa","ror":"https://ror.org/027s08w94","country_code":"BR","type":"education","lineage":["https://openalex.org/I68207295"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Bruno Ribeiro CRUZ","raw_affiliation_strings":["Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa, PR, Brasil","institution_ids":["https://openalex.org/I68207295"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065367572","display_name":"Everaldo Jos\u00e9 Sch\u00f6rner","orcid":"https://orcid.org/0000-0002-1121-2848","observed_orcids":["https://orcid.org/0000-0002-1121-2848"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Everaldo Jos\u00e9 SCH\u00d6RNER","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia de Santa Catarina (HEMOSC), Florian\u00f3polis, SC, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia de Santa Catarina (HEMOSC), Florian\u00f3polis, SC, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159178403","display_name":"Fab\u00edola Viol Tonon ALVES","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Fab\u00edola Viol Tonon ALVES","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068953876","display_name":"Caroline Luise Prochaska","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Caroline Luise PROCHASKA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Paran\u00e1 (HEMEPAR), Curitiba, PR, Brasil","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084979973","display_name":"Quirino Alves de Lima Neto","orcid":"https://orcid.org/0000-0003-3313-7567","observed_orcids":["https://orcid.org/0000-0003-3313-7567"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Quirino Alves DE LIMA NETO","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5089810634","display_name":"Denise Menezes Brunetta","orcid":"https://orcid.org/0000-0001-7382-8712","observed_orcids":["https://orcid.org/0000-0001-7382-8712"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Denise Menezes BRUNETTA","raw_affiliation_strings":["Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centro de Hematologia e Hemoterapia do Cear\u00e1 (Hemoce), Fortaleza, CE, Brasil","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.80055367,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"48","issue":null,"first_page":"106993","last_page":"106993"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11660","display_name":"Blood groups and transfusion","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11660","display_name":"Blood groups and transfusion","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10554","display_name":"Hemoglobinopathies and Related Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics (clinical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12068","display_name":"Neonatal Health and Biochemistry","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/maternal-fetal-blood-incompatibility","display_name":"maternal-fetal blood group incompatibility","score":0.8539999723434448},{"id":"https://openalex.org/keywords/diego-blood-group-system","display_name":"Diego blood group system","score":0.7760000228881836},{"id":"https://openalex.org/keywords/hemolytic-disease-of-the-newborn","display_name":"hemolytic disease of the newborn","score":0.9509999752044678},{"id":"https://openalex.org/keywords/gel-test","display_name":"gel test","score":0.328000009059906},{"id":"https://openalex.org/keywords/alloimmunization","display_name":"alloimmunization","score":0.5400000214576721},{"id":"https://openalex.org/keywords/rhd-negative-pregnancy","display_name":"Rh-negative pregnancy","score":0.3700000047683716},{"id":"https://openalex.org/keywords/alloimmunization-prevention","display_name":"alloimmunization prevention","score":0.4699999988079071},{"id":"https://openalex.org/keywords/transfusion-reactions","display_name":"transfusion reactions","score":0.4659999907016754},{"id":"https://openalex.org/keywords/dose-effect","display_name":"dosage effect","score":0.3799999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9778000116348267},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.32359999418258667},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.28349998593330383},{"id":"https://openalex.org/C2780648854","wikidata":"https://www.wikidata.org/wiki/Q2745824","display_name":"Immunopathology","level":2,"score":0.22050000727176666},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.19290000200271606},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.17900000512599945},{"id":"https://openalex.org/C529618451","wikidata":"https://www.wikidata.org/wiki/Q234904","display_name":"Ultrasonography","level":2,"score":0.14470000565052032},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13940000534057617},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.13910000026226044},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.1388999968767166}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.htct.2026.106993","doi":"https://doi.org/10.1016/j.htct.2026.106993","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.106993","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2531137926007406/pdf","source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:fc5e5240846142d8ab97bb1bf9bdfab8","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/fc5e5240846142d8ab97bb1bf9bdfab8","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Hematology, Transfusion and Cell Therapy, Vol 48, Iss , Pp 106993- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.htct.2026.106993","doi":"https://doi.org/10.1016/j.htct.2026.106993","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.htct.2026.106993","pdf_url":"https://www.sciencedirect.com/science/article/pii/S2531137926007406/pdf","source":{"id":"https://openalex.org/S2898598332","display_name":"Hematology Transfusion and Cell Therapy","issn_l":"2531-1379","issn":["2531-1379","2531-1387"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Hematology, Transfusion and Cell Therapy","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.979200005531311,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223146809.pdf","grobid_xml":"https://content.openalex.org/works/W7223146809.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4415670947","https://openalex.org/W4306321166","https://openalex.org/W4415670295","https://openalex.org/W4415670055","https://openalex.org/W4387748481","https://openalex.org/W1546964044","https://openalex.org/W1961892273","https://openalex.org/W4387747635","https://openalex.org/W4415670072","https://openalex.org/W3206668045"],"abstract_inverted_index":{"Introdu\u00e7\u00e3o":[0],"A":[1,18,81,163,233,255,361,384,431,462],"incompatibilidade":[2,63,469],"materno-fetal":[3,470],"ocorre":[4],"quando":[5],"o":[6,12,293,378,444,474,499,502],"feto":[7,47],"expressa":[8],"um":[9],"ant\u00edgeno":[10],"eritrocit\u00e1rio,":[11],"qual":[13,252],"\u00e9":[14,70,102,120,365,381,393,416,425],"ausente":[15],"na":[16,107,169,367],"m\u00e3e.":[17],"exposi\u00e7\u00e3o":[19],"materna":[20],"a":[21,26,33,37,62,155,178,251,280,396,405,419,429,452,468,490,506],"estes":[22],"ant\u00edgenos":[23,65,85,389],"pode":[24],"levar":[25],"produ\u00e7\u00e3o":[27],"de":[28,66,103,121,136,172,190,238,263,269,277,298,317,338,358,363,386,390,407,423,440,454,480],"aloanticorpos":[29],"IgG":[30],"que":[31,72,448],"atravessam":[32],"placenta":[34],"e":[35,48,99,116,131,145,158,265,271,290,374,465,482,495,505],"mediam":[36],"lise":[38],"das":[39,398],"hem\u00e1cias":[40,192,248,399],"fetais,":[41],"resultando":[42],"em":[43,110,114,149,165,196],"doen\u00e7a":[44],"hemol\u00edtica":[45],"do":[46,49,53,235,284,421,433,476,478],"rec\u00e9m-nascido":[50],"(DHFRN).":[51],"Anticorpos":[52,126],"sistema":[54,87],"Rh":[55],"s\u00e3o":[56],"os":[57,73,402,511],"mais":[58,382],"frequentes,":[59],"sendo":[60],"rara":[61],"contra":[64,388],"alta":[67,122,346,391],"frequ\u00eancia,":[68],"por\u00e9m":[69],"imperativo":[71],"profissionais":[74],"saibam":[75],"identificar":[76],"estas":[77],"situa\u00e7\u00f5es":[78],"potencialmente":[79],"graves.":[80],"ISBT":[82],"reconhece":[83],"24":[84],"no":[86,181,350],"Diego":[88],"-":[89,94],"gene":[90],"SLC4A1":[91,236,434],"(cromossomo":[92],"17)":[93],"destacando-se":[95],"Di(a),":[96,199],"Di(b),":[97],"Wr(a)":[98],"Wr(b).":[100],"Di(a)":[101],"baixa":[104],"frequ\u00eancia":[105,123,392],"(8%":[106],"popula\u00e7\u00e3o":[108,368],"brasileira":[109,369],"geral,":[111],"at\u00e9":[112,292],"34%":[113],"asi\u00e1ticos":[115],"ind\u00edgenas":[117],"sul-americanos);":[118],"Di(b)":[119],"(>":[124],"99%).":[125],"anti-Di(b)":[127,364],"podem":[128],"causar":[129],"DHFRN":[130],"rea\u00e7\u00f5es":[132,194],"transfusionais":[133],"hemol\u00edticas.":[134],"Relato":[135],"caso":[137],"Gestante,":[138],"28a,":[139],"G6P2C2A1.":[140],"Tipagem":[141,343],"B,":[142,344],"RhD+;":[143],"TAD":[144],"Auto-controle:":[146],"negativos.":[147],"PAI":[148],"gel-teste":[150,166],"(LISS/Coombs,":[151],"Bio-Rad)":[152],"2+":[153],"com":[154,160,175,185,193,247,267,322,449,498],"hem\u00e1cia":[156,161],"I":[157],"negativa":[159],"II.":[162],"identifica\u00e7\u00e3o":[164,385],"(Bio-Rad)":[167],"revelou,":[168],"AGH,":[170],"10":[171],"11":[173],"c\u00e9lulas":[174],"2+,":[176],"exceto":[177],"n\u00ba":[179],"11;":[180],"painel":[182],"papainizado,":[183],"todas":[184],"4+.":[186],"Foi":[187],"evidenciado":[188],"efeito":[189,422,479],"dose:":[191],"negativas":[195],"AGH":[197],"expressavam":[198],"heterozigose":[200],"Di(a+b+),":[201],"enquanto":[202],"as":[203],"reativas":[204],"seriam":[205],"homozigotas":[206],"Di(a\u2212b+).":[207],"Fenotipagem":[208],"da":[209,295,411,483,492,496,508],"paciente:":[210],"C+":[211],"c+":[212],"E-":[213],"e+":[214],"K-":[215],"k+":[216],"Kp(a-)":[217],"Kp(b+)":[218],"Jk(a+)":[219],"Jk(b-)":[220],"P1+":[221],"Le(a-)":[222],"Le(b+)":[223],"Lu(a-)":[224],"Lu(b+)":[225],"M+":[226],"N+":[227],"S+":[228],"s+":[229],"Fy(a+)":[230],"Fy(b+)":[231],"Di(a+).":[232],"genotipagem":[234,432,484],"(Sequenciamento":[237],"Sanger)":[239],"revelou":[240],"DI*01/DI*01,":[241],"fen\u00f3tipo":[242,445],"deduzido":[243],"Di(a+b\u2212).":[244,446],"Confirma\u00e7\u00e3o":[245],"sorol\u00f3gica":[246],"raras":[249],"Di(a+b\u2212),":[250],"foi":[253,435,457],"compat\u00edvel.":[254],"gestante":[256],"recebeu":[257],"acompanhamento":[258],"interdisciplinar":[259,494],"(obstetra,":[260],"hematologista,":[261],"equipe":[262],"enfermagem":[264],"laborat\u00f3rio),":[266],"reposi\u00e7\u00e3o":[268],"ferro":[270],"\u00e1cido":[272],"f\u00f3lico":[273],"orais,":[274],"mantendo":[275],"n\u00edveis":[276],"Hb":[278,340],"superiores":[279],"11,5":[281],"g/dL.":[282],"T\u00edtulos":[283],"anticorpo":[285],"se":[286],"mantiveram":[287],"entre":[288,510],"2":[289,310],"4":[291],"fim":[294],"gesta\u00e7\u00e3o.":[296],"Dopplervelocimetrias":[297],"art\u00e9ria":[299],"cerebral":[300],"m\u00e9dia":[301],"n\u00e3o":[302],"evidenciaram":[303],"sofrimento":[304],"fetal":[305],"ou":[306],"anemia.":[307],"Foram":[308],"reservados":[309],"CHs":[311,455],"compat\u00edveis":[312,456],"Di(b\u2212)":[313],"via":[314],"Cadastro":[315],"Nacional":[316],"Sangue":[318],"Raro":[319],"(CNSR/HEMOCE).":[320],"Evoluiu":[321],"parto":[323],"ces\u00e1rea":[324],"programado,":[325],"38":[326],"semanas,":[327],"sem":[328,336,348],"intercorr\u00eancias.":[329],"RN:":[330],"Apgar":[331],"9/10,":[332],"2,990":[333],"kg,":[334],"anict\u00e9rico,":[335],"sinais":[337],"hem\u00f3lise,":[339],"17,93":[341],"g/dL,":[342],"RhD+,":[345],"hospitalar":[347],"intercorr\u00eancias":[349],"terceiro":[351],"dia":[352],"ap\u00f3s":[353],"parto.":[354],"N\u00e3o":[355],"houve":[356],"necessidade":[357],"transfus\u00e3o.":[359],"Discuss\u00e3o":[360],"ocorr\u00eancia":[362],"plaus\u00edvel":[366],"devido":[370],"\u00e0":[371,438],"ancestralidade":[372],"ind\u00edgena":[373],"asi\u00e1tica,":[375],"nas":[376],"quais":[377],"alelo":[379],"DI*01":[380],"frequente.":[383],"anticorpos":[387],"desafiadora,":[394],"pois":[395,418],"maioria":[397],"dos":[400,414],"pain\u00e9is":[401,415],"expressa,":[403],"dificultando":[404],"exclus\u00e3o":[406],"reatividade.":[408],"O":[409],"conhecimento":[410],"composi\u00e7\u00e3o":[412],"fenot\u00edpica":[413],"fundamental;":[417],"observa\u00e7\u00e3o":[420],"dose":[424,481],"crucial":[426],"para":[427],"direcionar":[428],"investiga\u00e7\u00e3o.":[430],"valiosa":[436],"frente":[437],"indisponibilidade":[439],"antissoro":[441],"anti-Di(b),":[442,472],"confirmando":[443],"Ainda":[447],"desfecho":[450],"favor\u00e1vel,":[451],"reserva":[453],"uma":[458],"medida":[459],"segura.":[460],"Conclus\u00e3o":[461],"conduta":[463],"imuno-hematol\u00f3gica":[464],"molecular":[466],"confirmou":[467],"por":[471],"evidenciando":[473],"significado":[475],"reconhecimento":[477],"como":[485],"ferramentas":[486],"complementares.":[487],"Cabe":[488],"destacar":[489],"import\u00e2ncia":[491],"assist\u00eancia":[493],"articula\u00e7\u00e3o":[497],"CNSR,":[500],"garantindo":[501],"suporte":[503],"transfusional":[504],"relev\u00e2ncia":[507],"integra\u00e7\u00e3o":[509],"hemocentros.":[512]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-22T00:00:00"}
