Rh-Null Blood: The World's Rarest Blood Type

Rh-null is the rarest blood phenotype: ~43 known individuals worldwide.

Rh-null red cells lack all Rh antigens (D, C, c, E, e) due to mutations in the RHD and RHCE genes or their regulator RHAG.

Clinical Challenges

  • Extreme difficulty finding compatible blood for transfusion.
  • Rh-null individuals can only receive Rh-null blood.
  • International rare donor registries coordinate donations.

Rh-null is sometimes called "golden blood" because it can theoretically be donated to anyone with rare Rh types, but logistics make this nearly impossible.

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