Abstract The red blood cell (RBC) antigen Wr a is low-prevalence first described in 1953 by Holman and assigned to the Diego system 1995. Because of its low prevalence, usually absent on commercial screening RBCs antibody identification panels. When Wr(a+) are available, corresponding antibody, anti-Wr , often found sera from healthy individuals, patients, pregnant women. Anti-Wr can cause both...