Doctor insights on:
Autoimmune Hemolytic Anemia
No: It can be due to an underlying autoimmune disorder, such as lupus or rheumatoid arthritis. In this case, the underlying autoimmune disorder may be hereditary; but the autoimmune hemolytic anemia is not hereditary. It is simply the manifestation of the underlying disorder. There are also several causes of autoimmune hemolytic anemia that are not inherited. ...Read more
The immune system developed to tell our own, normal cells (self) from foreign and abnormal cells (non-self). This lets the immune system eliminate viruses, bacteria, fungi and cancer cells from our body without harming normal cells. Sometimes the immune system fails to tell self from non-self and it attacks normal cells, for example in ...Read more
May be yes: I strongly believe that acupuncture can influence the course of the disease. The question is rather to be extra care full not to cause bleeding . In general acupuncture is considered ok to do with bleeding disorders or even use of Coumadin (warfarin) (blood thinner ). Still i would be cautious. I would probably suggest first to try therapeutic touch ...Read moreSee 1 more doctor answer
Possibly related: An ANA and hemolytic anemia are not the same. Hemolytic anemia is a anemia or low blood count secondary to the breakdown of red cells typically secondary to an autoimmune disease. An ANA is a blood test that can be seen in many rheumatic diseases and other illness but is not specific. Autoimmune hemolytic anemia is a true finding in an autoimmune disease. ...Read more
Doubt it: Autoimmune hemolytic anemia is typically a problem secondary to an autoimmune disease. If your husband is not feeling well overall he may have a low libido. Also if he is on medications for his illness, they could potentially affect his libido as a side effect. This should be discussed at a physicians visit. ...Read more
If a girl having autoimmune hemolytic anemia n on steroids n azathioprin what she should do to get pregnant n have healthy baby?
Hi risk pregnancy: Both drugs you are on are risky with pregnancy, you need to work closely with your hematologist and your obstetrician if you get pregnant to select drugs that better suit your condition and tell you the right time for conception, wish you wellness ...Read moreSee 1 more doctor answer
Mother had lupus and died suddenly of autoimmune hemolytic anemia that caused cardiogenic shock.Is that a lupus thing or do I need 2 worry. I have ra?
Autoimmune hemolytic anemia with hgb 8.0/esr 80/hs-crp 8, crp 0.4. Normal ldh, reticulocytes. Treatment options for flares? On procrit (epoetin alfa) but not steroid
Hematology/Oncology: I have forwarded your question so hopefully a Heme/Onc will answer your question on here. You need to have the underlying cause determined and treated, steroids are mainstay of treatment, also splenectomy, IV gamma globulin, avoidance of cold, removal of any offending drugs that may cause it such as sulfa drugs, and treatment with cytotoxic drugs such as danazol. Plasmapheresis is often prescribed ...Read more
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.
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. ...Read moreSee 1 more doctor answer
Could slow onset autoimmune hemolytic anemia potentially go undisguised for a long time? over a year of FUO, fatigue, pale, low normal labs, coombs +, warm antibodies. Transfusion needed after 400 ml loss in surgery. (hgb was 6, Hct 19%) no answers.
No answers: is sometimes the case with FUO, the longer it stays the less likely an answer is found.It is mainly due to infections, auto-immune disorders or malignancy, but for one year any of those would have been discovered. You don't seem to have auto-immune hemolytic anemia though, at any rate I trust that your treating doctors explored all the possibilities to reach a diagnosis, trust them, the Dx is FUO ...Read more
I believe that I have lupus but the doctors that I have seen are hesitant to diagnose it. I have auto immune hemolytic anemia and auto immune thrombocetapenia. What shouldi do?
Treatment decisions: The real question is not "Do I have lupus?" but "How do I treat whatever this is?" There's no "magic bullet" for lupus and if it's not obvious, often the treatment is worse than the disease. The key is to manage your anemia to keep you able to function, and your thrombocytopenia to prevent serious bleeding. Decisions about administering immunosuppressants, IVIG, etc. are ahead. Be informed. ...Read moreSee 3 more doctor answers
RBC breakdown: Hemolytic anemia is where red blood cells are destroyed too quickly. There are many possibilities that would cause this rbc breakdown. Antibodies, abnormal rbc membranes (spherocytosis), abnormal hemoglobins (sickle cell, thalassemia), abnormal rbc enzymes. If hemolytic anemia is is suspected, many tests may be ordered to determine the cause. ...Read moreSee 1 more doctor answer
Cause of hemolysis: Once hemolysis is thought to be occurring, the cause is saught. The causes are many. Some are inherent to the red blood cell (sickle cell, spherocytosis, thalassemia, g6pd deficiency). Some are from antibodies. Some are from other causes of destruction within the blood vessels (mechanical heart valves, hemolytic uremic syndrome). This work up is quite involved. ...Read moreSee 1 more doctor answer
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