A member asked:

Would it be possible for a body to have adjusted to autoimmune hemolytic anemia over time. i have had fatigue, low grade fevers, positive coombs test, and an alarming drop in blood levels after surgery not losing much. labs come back low normal.

2 doctors weighed in across 2 answers
Dr. Christine Hom answered

Specializes in Pediatrics

Autoimmune hemolytic: Autoimmune hemolytic anemia, after being treated, may still smolder along at low blood hemoglobin. The body can adapt to a wide range of serum hemoglobin levels, but please see your hematologist to be sure your anemia is optimally controlled

Answered 12/2/2016

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Worth knowing: Let's finish your workup. Plenty of folks are Coombs-positive but not hemolyzing. If your reticulocyte count is up and you're well-nourished and aren't iron-deficient and it's been a while since surgery, maybe you're hemolyzing -- a reticulocyte count will tell you. With Coombs-pos, fatigue, low-grade fever, get tested for lupus. Your physician needs these missing pieces.

Answered 12/2/2016

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