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由血细胞计数异常揭示的冷自身抗体:病例报告。

Cold agglutinins revealed by abnormalities to the cell blood count: a case report.

机构信息

Laboratory of Hematology and Immuno-haematology Military Instruction Hospital Mohammed V, Rabat, Morocco.

出版信息

Pan Afr Med J. 2021 Apr 6;38:328. doi: 10.11604/pamj.2021.38.328.9100. eCollection 2021.

Abstract

Cold agglutinin are erythrocyte antibodies which possess the property of agglutinating red blood cells at temperatures of below 37°C, this phenomenon is reversible after heating. This is usually immunoglobulin M (IgM) class. Their pathogenicity is much more related to their temperature range of activity than their title. As we report in this observation, cold hemagglutination makes it difficult to interpret certain immunological tests such as ABO Rh blood grouping or searching for irregular antibodies (SAI). The discovery of cold agglutinins can be fortuitous revealing itself by disturbances and aberrations in the results of blood count or as part of a suggestive clinical or laboratory table cold hemagglutinin disease. The search for a lymphoid hematological at their diagnosis should be systematic.

摘要

冷抗体是具有在低于 37°C 的温度下凝集红细胞的特性的红细胞抗体,这一现象在加热后可逆转。这些抗体通常属于免疫球蛋白 M(IgM)类。它们的致病性与其活性温度范围比其效价更相关。正如我们在本次观察中报告的那样,冷凝集素使得某些免疫学测试(如 ABO Rh 血型鉴定或寻找不规则抗体(SAI))的结果难以解释。冷抗体的发现可能是偶然的,它会通过血常规结果的干扰和异常,或作为提示性临床或实验室表型冷抗体病的一部分而显现出来。在诊断时应系统地寻找淋巴血液学异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ca1/8265264/66288d2142c1/PAMJ-38-328-g001.jpg

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