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. 2020 Dec 4;2020(1):512–517. doi: 10.1182/hematology.2020000135

Table 2.

Platelet ABO compatibility

ABO Platelet recipient ABO group
AB A B O
Platelet donor ABO group AB Identical Major Major Major
A Minor Identical Bidirectional Major
B Minor Bidirectional Identical Major
O Minor Minor Minor Identical
RhD Platelet recipient RhD type
Positive Negative
Platelet donor RhD type Positive Identical Mismatch
At risk for RhD alloimmunization
Negative Mismatch Identical
No risk for RhD alloimmunization

ABO identical: donor and recipient have the same ABO antigens and antibodies. Major ABO mismatch: donor ABO antigens are incompatible with recipient ABO antibodies. Minor ABO mismatch: donor ABO antibodies are incompatible with recipient's ABO antigens. ABO bidirectional mismatch: donor ABO antibodies are incompatible with recipient ABO antigens and donor ABO antigens are incompatible with recipient ABO antibodies. Rh mismatch: Rh type of the recipient is different from the Rh type of the donor. RhD-negative recipients of platelets obtained from RhD-positive donors are the only ones at risk for RhD alloimmunization.