The Vital Role of Immunohematology in Diagnosing Paroxysmal Cold Hemoglobinuria: A Clinical Case Report

被引:0
|
作者
Gutierrez, Willy Nava [1 ,2 ]
Cortes, Paola Villa [3 ]
Morales, Ricardo Ramirez [4 ]
Garza, Juan P. Espinoza [5 ]
Mora, Jaime E. Espinosa [6 ]
机构
[1] Inst Seguridad & Serv Sociales Trabajadores Estado, Hematol & Oncol, Monterrey, Mexico
[2] Univ Monterrey, Hematol, Monterrey, Mexico
[3] Inst Seguridad & Serv Sociales Trabajadores Estado, Crit Care Med, Monterrey, Mexico
[4] Inst Seguridad & Serv Sociales Trabajadores Estado, Rheumatol, Monterrey, Mexico
[5] Inst Seguridad & Serv Sociales Trabajadores Estado, Pulmonol, Monterrey, Mexico
[6] Inst Seguridad & Serv Sociales Trabajadores Estado, Infect Dis, Monterrey, Mexico
关键词
complement-mediated hemolysis; therapeutic plasma exchange (tpe); rituximab; paroxysmal cold hemoglobinuria (pch); mexico; eculizumab; cold agglutinin disease; autoimmune vasculitis; autoimmune hemolytic anemia (aiha); anca-negative; AUTOIMMUNE HEMOLYTIC-ANEMIA;
D O I
10.7759/cureus.69362
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Paroxysmal cold hemoglobinuria (PCH) is a rare autoimmune hemolytic anemia caused by the binding of IgG immunoglobulins to red blood cells at cold temperatures, leading to hemolysis upon rewarming. The Donath-Landsteiner test can show biphasic hemolysis, leading to diagnosis. There is no consensus, but chemoimmunotherapy with or without plasma exchange is commonly employed. We present the case of a 42-year-old male who experienced symptoms of hemolysis after cold exposure in a semi-arid, warm-climate city.
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页数:6
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