Unexpected and confusing laboratory test results can occur if a blood sampl
e is inadvertently collected following a blood transfusion. A potential for
transfusion-acquired hemoglobinopathy exists because heterozygous individu
als show no significant abnormalities during the blood donor screening proc
ess. Such spurious results are infrequently reported in the medical literat
ure. We report a case of hemoglobin C passively transferred during a red bl
ood cell transfusion. The proper interpretation in our case was assisted by
calculations comparing expected hemoglobin C concentration with the measur
ed value. A review of the literature on transfusion-related preanalytic err
ors is provided.