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How do I know if I have Autoimmune Hemolytic Anemia / Cold Agglutinin Disease?

What signs or symptoms may make you suspect you may have Autoimmune Hemolytic Anemia / Cold Agglutinin Disease. People who have experience in Autoimmune Hemolytic Anemia / Cold Agglutinin Disease offer advice of what things may make you suspicious and which doctor you should go to to receive treatment

Do I have Autoimmune Hemolytic Anemia / Cold Agglutinin Disease?

Autoimmune Hemolytic Anemia (AIHA) is a rare condition characterized by the destruction of red blood cells (hemolysis) by the body's own immune system. One specific type of AIHA is called Cold Agglutinin Disease (CAD), where the immune system mistakenly attacks red blood cells in response to cold temperatures.



Recognizing the signs and symptoms of AIHA/CAD is crucial for early diagnosis and treatment. Here are some key indicators to watch out for:




  1. Fatigue and Weakness: AIHA/CAD can lead to a decrease in red blood cells, causing anemia. This often results in feelings of tiredness, weakness, and reduced stamina.

  2. Pale Skin: Anemia can cause a noticeable paleness in the skin, particularly in the face and hands.

  3. Shortness of Breath: When red blood cells are destroyed, the body may struggle to transport oxygen effectively, leading to breathlessness, especially during physical activity.

  4. Jaundice: Hemolysis can cause an excess of bilirubin, a yellow pigment, leading to yellowing of the skin and eyes.

  5. Dark Urine: The breakdown of red blood cells can result in urine that appears darker than usual.

  6. Cold Sensitivity: In the case of CAD, exposure to cold temperatures triggers the immune response, leading to symptoms such as pain, numbness, or discoloration in the extremities.



If you experience any of these symptoms, it is important to consult a healthcare professional for a proper diagnosis. They will likely perform a series of tests, including:




  • Complete Blood Count (CBC): This test measures the levels of different blood cells, including red blood cells, white blood cells, and platelets. AIHA/CAD often shows a decrease in red blood cell count.

  • Direct Coombs Test: This test detects the presence of antibodies or complement proteins on the surface of red blood cells, indicating an autoimmune reaction.

  • Cold Agglutinin Titer: In the case of suspected CAD, this test measures the level of cold agglutinins in the blood.

  • Bone Marrow Biopsy: In some cases, a bone marrow biopsy may be necessary to determine the underlying cause of AIHA/CAD.



Remember, only a healthcare professional can provide an accurate diagnosis. If you suspect AIHA/CAD based on the symptoms mentioned, seek medical attention promptly for appropriate evaluation and treatment.


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Stories of Autoimmune Hemolytic Anemia / Cold Agglutinin Disease

AUTOIMMUNE HEMOLYTIC ANEMIA / COLD AGGLUTININ DISEASE STORIES
Autoimmune Hemolytic Anemia / Cold Agglutinin Disease stories
diagnosed at 12, male.  AIHA of mixed warm and cold. Eventually Rituxan 4 rounds was given and had very good response - 2 years on very well.
Autoimmune Hemolytic Anemia / Cold Agglutinin Disease stories
Our daughter was diagnosed at 2 months with AIHA.  Her hemoglobin was 62.  She recieved 3 blood transfusions at that point and was placed on steriods.  We were unable to taper her completely off of them for 10 months.  At 14 months of age she had...
Autoimmune Hemolytic Anemia / Cold Agglutinin Disease stories
Diagnosed November 2014 after feeling quite sick for months.  Hemoglobin was 62 and platelets low as well.  Was originally diagnosed with Evans Syndrome because platelets also being destroyed.  Prescribed prednisone 80 mgs and cyclosphosamide.  C...
Autoimmune Hemolytic Anemia / Cold Agglutinin Disease stories
I'v got warm AIHA. got in 2007. Done prednisone and rituxin. 
Autoimmune Hemolytic Anemia / Cold Agglutinin Disease stories
Our son, Austin, was diagnosed in December 2016 after inform us of blood in his urine. We were immediately rushed to ER and tested his urine, which was black. It was revealed that his urine contained a large amount of RBC's and his hemoglobin was 93(...

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