关键词: anemia autoantibodies cold agglutinin disease direct coombs test immune hemolytic anemia

来  源:   DOI:10.7759/cureus.23172   PDF(Pubmed)

Abstract:
Cold agglutinin disease (CAD) is a type of hemolytic anemia in which cold agglutinins can cause agglutination of red blood cells in cold parts of the body and hemolytic anemia. Cold agglutinin-mediated hemolytic anemia can occur in the setting of an underlying viral infection, autoimmune disorder, or lymphoid malignancy, referred to as a secondary cold agglutinin syndrome, or without one of these underlying disorders, referred to as primary CAD (also known as idiopathic CAD). We present a case of a 71-year-old female with hemolytic anemia due to primary CAD. The secondary causes of CAD, including infections, autoimmune disorders, and malignancy, were ruled out. She was successfully treated with prednisone.
摘要:
冷凝集素病(CAD)是一种溶血性贫血,其中冷凝集素可导致身体寒冷部位的红细胞凝集和溶血性贫血。冷凝集素介导的溶血性贫血可以发生在潜在的病毒感染的背景下,自身免疫性疾病,或者淋巴恶性肿瘤,被称为继发性冷凝集素综合征,或者没有这些潜在的疾病,称为原发性CAD(也称为特发性CAD)。我们介绍了一例71岁女性因原发性CAD而出现溶血性贫血的病例。CAD的次要原因,包括感染,自身免疫性疾病,和恶性肿瘤,被排除了。她用泼尼松成功治疗。
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