Cold agglutinins in rhesus macaques infected with simian immunodeficiency virus (SIV)

Cold agglutinins are uncommon autoimmune phenomena associated with mycoplasma pneumonia, viral infections, lymphoproliferative neoplasia and recently, acquired immunodeficiency syndrome (AIDS) in human beings. Six rhesus macaques infected with pathogenic isolates of simian immunodeficiency virus (SIV) developed cold agglutinins late in the course of viral infection in association with hyperproteinaemia, hyperglobulinaemia and thrombocytopenia. Cold agglutinin titres ranged from 1:1024 to 1:8192. The development of cold agglutinins in SIV-infected rhesus macaques may be another manifestation of immune dysfunction in this non-human primate model of AIDS.