Warm vs Cold Autoimmune Hemolytic Anemia
Warm Autoimmune Hemolytic Anemia:
• Mechanism: IgG and Complement-mediated
• Etiology: Lymphoproliferative disorder, Autoimmune disorder
• Associated Findings: Coombs positive for IgG +/- C3, Spherocytes
• Treatment: Corticosteroids, Immunosuppression, Splenectomy
Cold Autoimmune Hemolytic Anemia:
• Mechanism: IgM and Complement-mediated
• Etiology: Lymphoproliferative disorder, Mycoplasma, HIV, EBV
• Associated Findings: Coombs Positive for C3 only, Agglutination, Mostly transient hemolysis
• Treatment: Warm patient, Plasmapheresis
- VA Joint Chiefs @BostonChiefs
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