Clinically relevant information on D phenotypes can be summarized as follows:
D phenotype | D antigen expression | Rh(D) typing | Produce anti-D | RBC to transfuse | RhIg recommended** |
D+ | normal | direct agglutination | no | D+ or D– | no |
Weak D | normal but weak | IAT | no | D+ or D– | no |
Partial D | altered | direct agglutination* & IAT | yes | D– | yes |
Partial weak D | altered & variable | direct agglutination* & IAT | yes | D– | yes |
D– | none | IAT | yes | D– | yes |
* Depending on anti-D reagent used
** USA, UK and parts of Canada