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Diagnostic Pw for AIHA, + Further clinical +/- serological assessment -…
Diagnostic Pw for AIHA
Evidence of
Haemolytic anaemia (HA)
DAT
Direct antiglobulin test
Negative
Consider alternative causes of HA
Repeat DAT by
column agglutination method
for IgG, IgM, IgA and C3d
Perform D-L test
for
children with haemoglobinuria
(for
testing PCH
)
Positive
Clinical assessment
: look of the causes e.g.
HTR, HDFN, DIHA, post transplantation (ABO mismatch), post IvIg,
or some unrelated cause
AIHA
(of no alternative cause)
DAT: IgG only
Warm AIHA
DAT: C3 +/- IgG
DAggT
(direct agglutination test) at
RT
Negative
< 18 y.o.; Haemoglobinuria; Cold associated Haemolysis; Atypical features
2 more items...
Positive
Antibody titre
2 more items...
+
Further clinical
+/
- serological assessmen
t