Presentation
The Peripheral Blood Film, Second Edition presents the various concepts of the origin, development, and functions of blood cells. [books.google.de]
The purpose of the present article was to review the neonatal presentation of HS and to provide practical and up-to-date means of diagnosing and treating HS in neonates. [pediatrics.aappublications.org]
Most often, it presents in middle-aged and older individuals. Presentation Symptoms Symptoms are due to both anaemia and the underlying disorder. Patients with minimal or long-standing haemolytic anaemia can be asymptomatic. [patient.info]
If agglutination occurs, IgG antibodies (autoantibodies or alloantibodies) against RBCs are present. This test is also used to determine the specificity of an alloantibody. [msdmanuals.com]
Entire Body System
- Anemia
We’ve been talking a lot about hemolytic anemias – we talked about how to figure out if your patient has a hemolytic anemia, and we talked about the DAT as a test that you would do to determine whether your patient’s hemolytic anemia falls into the immune [pathologystudent.com]
[…] and destructive causes of anemia. [cancertherapyadvisor.com]
Diagnosis: Sickle Cell Anemia -Tests: Hb Electrophoresis -Rx: Hydroxyurea Strategy to Evaluate Hemolytic Anemia [quizlet.com]
Hemolytic anemias •Blood loss anemias •Recovering anemia 18. [slideshare.net]
Algorithm for the evaluation of hemolytic anemia. [aafp.org]
- Fever
Certain conditions like infection, fever, and physical stress can lead to more red blood cell destruction than usual. If this occurs, the body will try to produce more red blood cells to keep up with the level of destruction that occurs. [ihtc.org]
Within minutes, the patient may develop fever, chills, dyspnea, hypotension, and shock. [aafp.org]
臍帯血移植 d dendritic cells (DC)樹状細胞 disseminated intravascular coagulation (DIC)播種性血管内凝固 e enzyme 酵素 epidermal growth factor receptor (EGFR) 上皮成長因子受容体 erythrocyte (red blood cell; RBC)赤血球 erythroleukemia赤白血病 exanthema発疹 extramedullary hematopoiesis髄外造血 f fever [tokyo-med.ac.jp]
Hemolytic crisis (acute, severe hemolysis) is uncommon; it may be accompanied by chills, fever, pain in the back and abdomen, prostration, and shock. Hemoglobinuria causes red or reddish-brown urine. [msdmanuals.com]
- Chills
Hemolytic crisis (acute, severe hemolysis) is uncommon; it may be accompanied by chills, fever, pain in the back and abdomen, prostration, and shock. Hemoglobinuria causes red or reddish-brown urine. [msdmanuals.com]
Within minutes, the patient may develop fever, chills, dyspnea, hypotension, and shock. [aafp.org]
- Rigor
In any newborn infant with hemolytic jaundice, rigorous bilirubin monitoring and treatment are needed, particularly during the first weeks of life, and monitoring of the hemoglobin level is required during the first months of life. [pediatrics.aappublications.org]
A 60-year-old man with fever, rigors, and sweats. N Engl J Med. 2003;349:1168–75. 6. Ucar K. Clinical presentation and management of hemolytic anemias. Oncology [Huntingt]. 2002;169 suppl 10:163–70. 7. Maedel L, Sommer S. [aafp.org]
Cardiovascular
- Hypertension
Common Red Cell Fragmentation Syndromes -Prosthetic heart valves -Thrombotic thrombocytopenic purpura (TTP) -Hemolytic - uremic syndrome (HUS) -Malignant hypertension -Disseminated intravascular coagulation (DIC) Thrombotic Thrombocytopenic Purpura (TTP [quizlet.com]
This fragmentation occurs in a diverse group of disorders, including thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, disseminated intravascular coagulation, preeclampsia, eclampsia, malignant hypertension, and scleroderma renal crisis. [aafp.org]
This last group of disorders includes the microangiopathies, which are characterized by fragmented red cells (schistocytes), including DIC, TTP, HUS, eclampsia, carcinomatosis, allograft rejection, and malignant hypertension. [cancertherapyadvisor.com]
Mechanical damage to RBCs from fibrin deposits DIC MicroAngiopathic HA TTP/HUS prosthetic heart valves severe valvular stenosis malignant hypertension March hemoglobinuria myelofibrosis hypersplenism Schistocyte – fragmented RBC normal [slideshare.net]
Musculoskeletal
- Arthritis
[…] thrombocytopenia *Idiopathic thrombocytopenic purpura (ITP) *Neonatal alloimmune thrombocytopenia (NAITP) −Disseminated intravascular coagulation (DIC) −Hypersplenism Thrombocytosis • Reactive thrombocytosis Post infection Inflammation Juvenile rheumatoid arthritis [slideshare.net]
Limitations : Alcohol abuse can lead to an increased RDW while rheumatoid arthritis can lead to a decreased RDW. [clevelandheartlab.com]
Neurologic
- Hyperactivity
[…] hemoglobinuria Thrombotic thrombocytopenic purpura Warm antibody Infectious organisms Babesia sp Bartonella bacilliformis Plasmodium falciparum P. malariae P. vivax Mechanical trauma March hemoglobinuria Valvular heart disorders Reticuloendothelial hyperactivity [msdmanuals.com]
- Neglect
Perhaps the intense focus on reducing the elevated bilirubin level into a safe range sometimes results in neglecting evaluation of how the bilirubin became so high in the first place. 14 Approximately 65% of neonates with HS have a parent with HS. 1, [pediatrics.aappublications.org]
Workup
Diagnosis Diagnostic tests For all anemias: Because many therapies--especially erythrocyte transfusions--can interfere with the diagnostic workup, it is generally recommended that, if possible, relevant studies of whole blood, plasma, and serum are obtained [cancertherapyadvisor.com]
Treatment
Treatment The symptoms of HS are treatable, but the inherited red blood cell defect is not curable. The treatment for young children and those with mild HS may include oral folic acid which is needed to make RBC’s. [ihtc.org]
Treatment of acute hyperkalaemia in adults [PDF] This guideline has been developed to improve the treatment of acute hyperkalaemia and reduce the risk of complications associated with hyperkalaemia and its treatment. This guideline is a... [evidence.nhs.uk]
Treatment can also include dietary supplements. It is best to consult with doctor about the proper treatment plan for this disorder. [primehealthchannel.com]
TABLE 2 Laboratory Evaluation for HS in a Jaundiced Neonate Treatment Phototherapy should reduce the bilirubin level of jaundiced neonates with HS, and it is the mainstay of treatment in the first days after birth. 33 – 35 When a bilirubin level is found [pediatrics.aappublications.org]
Prognosis
The prognosis of an anemia is largely dictated by the prognosis of the corresponding underlying disorder. The patient should be continually monitored and supportive care provided while disease-specific therapy is administered. [cancertherapyadvisor.com]
What we see as the essence: "NRBC are often an only transient observation, but they indicate a poor prognosis, whether transient or persistent." [sysmex.de]
Etiology
The patient's medical records provide an invaluable resource for differentiating congenital from acquired etiologies. [cancertherapyadvisor.com]
Once hemolysis has been identified, the etiology is sought. [msdmanuals.com]
The etiologies of hemolysis often are categorized as acquired or hereditary. Common acquired causes of hemolytic anemia are autoimmunity, microangiopathy, and infection. [aafp.org]
FIGURE 5 Evaluating a neonate with problematic jaundice in whom the etiology is unclear. Not all neonates who receive phototherapy for ≥2 days have hemolytic jaundice. [pediatrics.aappublications.org]
Epidemiology
Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]
Epidemiology Risk factors are variable and depend on the underlying cause. [patient.info]
Epidemiology The wide variability in the reported prevalence of anemia results, in part, from the lack of standard universal definitions. [cancertherapyadvisor.com]
Pathophysiology
Some anemias may result from more than one pathophysiology (e.g., gastrointestinal losses and nutritional reticulocytopenia in alcoholics). Knowledge of the relevant pathophysiology can guide diagnostic and treatment strategies. [cancertherapyadvisor.com]
Paroxysmal Nocturnal Hemoglobinuria (PNH) Discuss the molecular and pathophysiologic defects in paroxysmal nocturnal hemoglobinuria (PNH) and explain the test used to diagnose this disorder. List complications of PNH. [hematology.org]
[…] hemolytic transfusion reactions ABO hemolytic diseases of newborn/Rh hemolytic disease of newborn Hereditary spherocytosis Intravenous water infusion or drowning (fresh water) hypophosphatemia Bartonellosis Snake bite hyposplenism Rh-null phenotype Pathophysiology [en.wikipedia.org]
Disorders of hemoglobin synthesis Hb C disease Hb E disease Hb S-C disease Sickle cell disease Thalassemias Disorders of RBC metabolism Embden-Meyerhof pathway defects (eg, pyruvate kinase deficiency) Hexose monophosphate shunt defects (eg, G6PD deficiency) Pathophysiology [msdmanuals.com]
Pathophysiology There are two mechanisms of hemolysis. Intravascular hemolysis is the destruction of red blood cells in the circulation with the release of cell contents into the plasma. [aafp.org]
Prevention
Provides guidance on error detection, correction, and prevention, as well as cost-effective test selection. Features a full-color layout, illustrations and visual aids, and an organization based on organ system. [books.google.de]
Spherocytosis Prevention As this is an inherited disease, it is impossible to prevent its occurrence. However, regular screening and early treatment of high-risk individuals can help avoid the risk of complications of the condition. [primehealthchannel.com]
A novel TMPRSS6 mutation that prevents protease auto-activation causes IRIDA. Altamura S, D'Alessio F, Selle B, Muckenthaler MU. Biochem J. 2010 Nov 1;431(3):363-71. doi: 10.1042/BJ20100668. Two to tango: regulation of Mammalian iron metabolism. [klinikum.uni-heidelberg.de]
A splenectomy does not cure this disease, but it can cure the anemia and prevent the development of gallstones. Since the spleen is a filter of bacteria for the body, its removal can result in an increased risk of certain infections. [ihtc.org]
We predict that early suspicion, prompt diagnosis and treatment, and anticipatory guidance will prevent adverse outcomes in neonates with HS. [pediatrics.aappublications.org]