Autoimmune hemolytic anemia: transfusion challenges and solutions
Melca M O Barros, Dante M Langhi Jr, José O Bordin Department of Clinical and Experimental Oncology, Universidade Federal de São Paulo, São Paulo, Brazil Abstract: Autoimmune hemolytic anemia (AIHA) is defined as the increased destruction of red blood cells (RBCs) in...
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2017-03-01
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doaj-500e758bbece4274af1b39d64e5c45172020-11-24T21:34:33ZengDove Medical PressInternational Journal of Clinical Transfusion Medicine2253-32492017-03-01Volume 591831894Autoimmune hemolytic anemia: transfusion challenges and solutionsBarros MMLanghi Jr DMBordin JOMelca M O Barros, Dante M Langhi Jr, José O Bordin Department of Clinical and Experimental Oncology, Universidade Federal de São Paulo, São Paulo, Brazil Abstract: Autoimmune hemolytic anemia (AIHA) is defined as the increased destruction of red blood cells (RBCs) in the presence of anti-RBC autoantibodies and/or complement. Classification of AIHA is based on the optimal auto-RBC antibody reactivity temperatures and includes warm, cold-reactive, mixed AIHA, and drug-induced AIHA subtypes. AIHA is a rare disease, and recommendations for transfusion are based mainly on results from retrospective data and relatively small cohort studies, including heterogeneous patient samples or single case reports. In this article, we will review the challenges and solutions to safely transfuse AIHA patients. We will reflect on the indication for transfusion in AIHA and the difficulty in the accomplishment of immunohematological procedures for the selection of the safest and most compatible RBC units. Keywords: hemolytic anemia, RBC autoantibodies, autoimmunity, hemolysis, direct ­antiglobulin testhttps://www.dovepress.com/autoimmune-hemolytic-anemia-transfusion-challenges-and-solutions-peer-reviewed-article-IJCTMAutoimmune Hemolytic AnemiaTransfusionRbc Antibodies |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Barros MM Langhi Jr DM Bordin JO |
spellingShingle |
Barros MM Langhi Jr DM Bordin JO Autoimmune hemolytic anemia: transfusion challenges and solutions International Journal of Clinical Transfusion Medicine Autoimmune Hemolytic Anemia Transfusion Rbc Antibodies |
author_facet |
Barros MM Langhi Jr DM Bordin JO |
author_sort |
Barros MM |
title |
Autoimmune hemolytic anemia: transfusion challenges and solutions |
title_short |
Autoimmune hemolytic anemia: transfusion challenges and solutions |
title_full |
Autoimmune hemolytic anemia: transfusion challenges and solutions |
title_fullStr |
Autoimmune hemolytic anemia: transfusion challenges and solutions |
title_full_unstemmed |
Autoimmune hemolytic anemia: transfusion challenges and solutions |
title_sort |
autoimmune hemolytic anemia: transfusion challenges and solutions |
publisher |
Dove Medical Press |
series |
International Journal of Clinical Transfusion Medicine |
issn |
2253-3249 |
publishDate |
2017-03-01 |
description |
Melca M O Barros, Dante M Langhi Jr, José O Bordin Department of Clinical and Experimental Oncology, Universidade Federal de São Paulo, São Paulo, Brazil Abstract: Autoimmune hemolytic anemia (AIHA) is defined as the increased destruction of red blood cells (RBCs) in the presence of anti-RBC autoantibodies and/or complement. Classification of AIHA is based on the optimal auto-RBC antibody reactivity temperatures and includes warm, cold-reactive, mixed AIHA, and drug-induced AIHA subtypes. AIHA is a rare disease, and recommendations for transfusion are based mainly on results from retrospective data and relatively small cohort studies, including heterogeneous patient samples or single case reports. In this article, we will review the challenges and solutions to safely transfuse AIHA patients. We will reflect on the indication for transfusion in AIHA and the difficulty in the accomplishment of immunohematological procedures for the selection of the safest and most compatible RBC units. Keywords: hemolytic anemia, RBC autoantibodies, autoimmunity, hemolysis, direct ­antiglobulin test |
topic |
Autoimmune Hemolytic Anemia Transfusion Rbc Antibodies |
url |
https://www.dovepress.com/autoimmune-hemolytic-anemia-transfusion-challenges-and-solutions-peer-reviewed-article-IJCTM |
work_keys_str_mv |
AT barrosmm autoimmunehemolyticanemiatransfusionchallengesandsolutions AT langhijrdm autoimmunehemolyticanemiatransfusionchallengesandsolutions AT bordinjo autoimmunehemolyticanemiatransfusionchallengesandsolutions |
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1716695900605120512 |