Anemia Part 2 Flashcards
Characterized by premature RBC destruction caused by
autoantibodies that bind the RBC surface
Autoimmune hemolytic anemia (AHA)
The most common, and the antibody that is present here
is the IgG (bind) to RBC membrane that will cause an
extravascular hemolysis and Splenomegaly
(enlargement of the spleen)
Warm reactive Autoimmune hemolytic anemia
Two causes warm reactive autoimmune hemolytic anemia
Primary 1= idiopathic
Secondary 2= infection, malignancy lymphoma, medication, viral infection
Shape of warm reactive autoimmune hemolytic anemia
Spherocytes
Warm reactive autoimmune hemolytic anemia Mediated by antibody with maximum binding affinity at
37C
Cold-reactive autoimmune hemolytic anemia Mediated by antibody with maximum binding affinity at
4C or below 32C
the antibody that is present here is the IgM (bind) to
RBC membrane that will cause complement activation
so the hemolysis that will occur is intravascular
Cold reactive autoimmune hemolytic anemia
Two causes of cold reactive autoimmune hemolytic anemia
Primary 1* = idiopathic and more on elderly
Secondary 2*= infection
A rare acute form of cold-generated hemolysis, common
sa children
Paroxysmal cold hemoglobinuria
Paroxysmal cold Hemoglobinuria Caused by antibody
Donath landsteiner antibody
Type of hemolysis: warm-reactive
Extra vascular
Type of hemolysis: cold reactive
Intra/extravascular
Type of hemolysis paroxysmal cold hemoglobinuria
Intravascular
Treatment warm reactive:
Corticosteriod splenectomy
Treatment cold reactive:
Avoidance of Cold plasmapheresis