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Severe Autoimmune Hemolytic Anemia in an Infant Caused by Warm-reactive IGM and IGA Autoantibodies: A Case Report and Review of the Literature.

Abstract
Warm-reactive IgM autoimmune hemolytic anemia is uncommon and carries a poor prognosis in adults. There have been rare reports in children, generally associated with an underlying immunologic deficiency, and outcomes are quite variable. Warm IgM in combination with other antibodies has not been reported in children. We report the first case of severe, steroid-responsive autoimmune hemolytic anemia caused by both warm-reactive IgM and IgA autoantibodies in an otherwise healthy 3-month-old.
AuthorsCristyn N Branstetter, Jane S Hankins, Dawn Moreau, Kerri A Nottage
JournalJournal of pediatric hematology/oncology (J Pediatr Hematol Oncol) Vol. 37 Issue 6 Pg. 468-71 (Aug 2015) ISSN: 1536-3678 [Electronic] United States
PMID26181418 (Publication Type: Case Reports, Journal Article, Review)
Chemical References
  • Autoantibodies
  • Immunoglobulin A
  • Immunoglobulin M
Topics
  • Adult
  • Anemia, Hemolytic, Autoimmune (etiology)
  • Autoantibodies (blood, immunology)
  • Female
  • Humans
  • Immunoglobulin A (immunology)
  • Immunoglobulin M (immunology)
  • Immunologic Deficiency Syndromes (complications)
  • Infant
  • Male
  • Prognosis
  • Severity of Illness Index

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