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Question :

Posted On : 26 Jan 2006

I would like to know how can I manage a case of autoimmune hemolytic anemia {agglutinin cold antibodies}, one year old, her hemoglobin 7gm Percent, her blood group AB plus which isn`t compatible with the same blood groups in our bank.

Expert Answer :

No expert answer available.

Answer Discussion :

MANGESH DAMODAR KHANDAVE

GIVE STEROID {PREDNISOLONE}

19 years ago

nikhil agrawal

just tranfuse the best matched blood group

19 years ago

Dr. A Santosh Kumar

Blood transfusion, steroids, closest matching blood under steriod cover.

19 years ago

pediatriconcall

The primary cause for AIHA needs to be ascertained. Treating the primary cause may relieve the child of the hemolytic process. Cold aglutinin hemolytic anemia is usually secondary to some infection.

2. If the hemoglobin is 7 gm and stable, transfusion may not be indicated.

3. If the hemoglobin shows a dropping trend with levels falling below 5 gms then I would transfuse under cover of steroids with the least compatible blood unit. There is bound to be difficulty in cross matching, hence we use the least compatible unit on cross matching.

19 years ago

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