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Anaphylactic reactions are excluded by the presence of red plasma or urine, discordant pretransfusion and posttransfusion ABO blood types, or a positive direct antiglobulin (Coombs) test result. Demonstration of anti-IgA in a pretransfusion sample of the recipient's serum or plasma establishes the diagnosis.
Hemolyzed Blood Specimens. Hemolysis is a common occurrence in blood specimens which may compromise laboratory test results. Hemolysis may be due to specimen collection, processing, or transport. Hemolysis may also be due to pathological conditions, such as immune reactions, infections, medications, toxins and poisons, and therapeutic procedures. Frequently, laboratory testing can still be performed on a hemolyzed sample.