Blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient
Autoimmune hemolytic anemia (AIHA) is characterized by the presence of antibodies directed against self-antigens on red blood cells (RBCs) leading to progressive RBC destruction along with reduced red cell survival. Mixed-type AIHA is characterized by the presence of both warm and cold-autoantibodie...
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Wolters Kluwer Medknow Publications
2021
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oai:doaj.org-article:fc61dcad69da41e4ba3531a7edf7b4802021-11-12T10:08:28ZBlood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient0973-62471998-356510.4103/ajts.AJTS_74_19https://doaj.org/article/fc61dcad69da41e4ba3531a7edf7b4802021-01-01T00:00:00Zhttp://www.ajts.org/article.asp?issn=0973-6247;year=2021;volume=15;issue=2;spage=247;epage=249;aulast=Wasnikhttps://doaj.org/toc/0973-6247https://doaj.org/toc/1998-3565Autoimmune hemolytic anemia (AIHA) is characterized by the presence of antibodies directed against self-antigens on red blood cells (RBCs) leading to progressive RBC destruction along with reduced red cell survival. Mixed-type AIHA is characterized by the presence of both warm and cold-autoantibodies. These autoantibodies may cause blood-group discrepancy or cross-match incompatibility leading to delay in arranging suitable blood unit for transfusion. The detection of autoantibodies by monospecific-direct antiglobulin test showing positive reaction on immunoglobulin G and C3d and presence of cold-agglutinins leads to the diagnosis. We report a rare case of mixed AIHA in a 15 years female showing severe anemia, blood group discrepancy, and cross-match incompatibility. She received transfusion of least incompatible packed RBCs without any untoward effect.Minal WasnikSaurabh LahareTushar JagzapeRamesh Kumar ChandrakarWolters Kluwer Medknow Publicationsarticleautoantibodiesc3ddirect antiglobulin testdiscrepancymixed autoimmune hemolytic anemiaDiseases of the blood and blood-forming organsRC633-647.5ENAsian Journal of Transfusion Science, Vol 15, Iss 2, Pp 247-249 (2021) |
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autoantibodies c3d direct antiglobulin test discrepancy mixed autoimmune hemolytic anemia Diseases of the blood and blood-forming organs RC633-647.5 |
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autoantibodies c3d direct antiglobulin test discrepancy mixed autoimmune hemolytic anemia Diseases of the blood and blood-forming organs RC633-647.5 Minal Wasnik Saurabh Lahare Tushar Jagzape Ramesh Kumar Chandrakar Blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient |
description |
Autoimmune hemolytic anemia (AIHA) is characterized by the presence of antibodies directed against self-antigens on red blood cells (RBCs) leading to progressive RBC destruction along with reduced red cell survival. Mixed-type AIHA is characterized by the presence of both warm and cold-autoantibodies. These autoantibodies may cause blood-group discrepancy or cross-match incompatibility leading to delay in arranging suitable blood unit for transfusion. The detection of autoantibodies by monospecific-direct antiglobulin test showing positive reaction on immunoglobulin G and C3d and presence of cold-agglutinins leads to the diagnosis. We report a rare case of mixed AIHA in a 15 years female showing severe anemia, blood group discrepancy, and cross-match incompatibility. She received transfusion of least incompatible packed RBCs without any untoward effect. |
format |
article |
author |
Minal Wasnik Saurabh Lahare Tushar Jagzape Ramesh Kumar Chandrakar |
author_facet |
Minal Wasnik Saurabh Lahare Tushar Jagzape Ramesh Kumar Chandrakar |
author_sort |
Minal Wasnik |
title |
Blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient |
title_short |
Blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient |
title_full |
Blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient |
title_fullStr |
Blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient |
title_full_unstemmed |
Blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient |
title_sort |
blood group discrepancy in mixed-type autoimmune hemolytic anemia in a pediatric patient |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2021 |
url |
https://doaj.org/article/fc61dcad69da41e4ba3531a7edf7b480 |
work_keys_str_mv |
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_version_ |
1718431087820013568 |