Case 17 – update 3

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:

Image

Here is our patient’s film:

Image

More results:

DAT – positive

LDH – 750iU/L

Reticulocytes 172×10*9/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?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion

About TeamHaem

Online education and discussion about all things haematological
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