Division of Hematology, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Division of Hematology, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Hematol Oncol Clin North Am. 2022 Apr;36(2):315-324. doi: 10.1016/j.hoc.2021.12.001. Epub 2022 Mar 11.
The causes of hemolytic anemia are numerous and a systematic approach is critical for proper identification and classification. The direct antiglobulin test can establish the diagnosis and subclassify the majority of autoimmune hemolytic anemias. Further testing to identify the driver of AIHA can have significant implications in overall management. Advanced testing for rare nonimmune acquired hemolytic anemias or hereditary hemolytic anemias may be necessary if DAT testing is negative.
溶血性贫血的病因众多,系统的方法对于正确的识别和分类至关重要。直接抗球蛋白试验可确立诊断,并对大多数自身免疫性溶血性贫血进行亚类划分。进一步检测以明确自身免疫性溶血性贫血的驱动因素在总体管理中具有重要意义。如果直接抗球蛋白试验阴性,则可能需要进行更先进的罕见非免疫性获得性溶血性贫血或遗传性溶血性贫血的检测。