A Negative Direct Antiglobulin Test with Strong IgG Red Cell Autoantibodies Present in the Serum of a Patient with Autoimmune Haemolytic Anaemia

Autor: C. P. Engelfriet, M. B. Van't Veer, M. A. M. Overbeeke, A. E. G. Kr. von dem Borne, P. M. V. Van Wieringen, I. van Leeuwen
Rok vydání: 1981
Předmět:
Zdroj: British Journal of Haematology. 49:383-386
ISSN: 1365-2141
0007-1048
DOI: 10.1111/j.1365-2141.1981.tb07240.x
Popis: Summary. The case is presented of a boy with an autoimmune haemolytic anaemia of 10 years duration. He had a positive direct antiglobulin test with IgG and complement detected on the red cells and with IgG autoantibodies in the serum. During a recent episode of severe haemolysis, the Hb level fell to 3.8 g/dl and the direct antiglobulin test became negative although his autoantibodies still reacted with all the red cells in a panel. The serum reacted more strongly with C- and e-positive cells. The Rh phenotype of the patient was CcDee as it had always been. Possible explanations of the unexpected findings are discussed.
Databáze: OpenAIRE