Teamhaem have spoken!
The film shows polychromasia and enlarged red cells – likely reticulocytes. There are also small contracted cells – spherocytes. Normal red cells should be like the below:
Here is our patient’s film:
DAT – positive
LDH – 750iU/L
#teamhaem are convinced he has features of extravascular haemolysis and with a positive DAT we suspect this is autoimmune haemolytic anaemia. There has been no recent transfusions.
Questions for the team:
- How do you classify haemolytic anaemia?
- We think this is autoimmune haemolytic anaemia. What are the potential causes?
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