Management of cold haemolytic syndrome.

Abstract:

:Most haemolytic disease is mediated by immunoglobulin G (IgG) antibodies and leads to red blood cell destruction outside of the circulatory system. However, rare syndromes, such as paroxysmal cold haemoglobinuria, show IgG antibodies causing intravascular destruction. Haemolysis may also occur because of immunoglobulin M antibodies. Historically, these antibodies have been termed 'cold agglutinins' because they cause agglutination of red blood cells at 3 degrees C. Cold agglutinin haemolytic anaemia has been associated with a number of autoimmune and lymphoproliferative disorders, and its management differs substantially from warm antibody-mediated haemolytic anaemia. This review of cold haemolytic syndromes describes new therapies and clinical strategies to determine a correct diagnosis.

journal_name

Br J Haematol

authors

Gertz MA

doi

10.1111/j.1365-2141.2007.06664.x

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

422-9

issue

4

eissn

0007-1048

issn

1365-2141

pii

BJH6664

journal_volume

138

pub_type

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