Abstract
The results of 51Cr red cell survival and organ sequestration studies in seventysix patients with autoimmune haemolytic anaemia are described.
In patients with incomplete IgG and IgA warm autoantibodies increased red cell destruction to a varying degree and mainly spleen sequestration were found. In patients with IgM incomplete warm autoantibodies sequestration of red cells mainly in the liver was seen. Liver sequestration was also present in patients with cold agglutinins/haemolysis, sometimes accompanied by a significant spleen sequestration. In a number of patients with haemolytic autoantibodies, i.e. warm haemolysins and cold agglutinins/haemolysins, a biphasic 51Cr elimination curve was obtained. The cause of this type of survival curve is discussed.
In patients in whom a positive direct anticomplement test was the only serological abnormality a normal 51Cr red cell life-span was found.
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Selected References
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- Cooper A. G., Brown D. L. Haemolytic anaemia in the rabbit following the injection of human anti-I cold agglutinins. Clin Exp Immunol. 1971 Jul;9(1):99–110. [PMC free article] [PubMed] [Google Scholar]
- Engelfriet C. P., Borne AE vd, Giessen M vd, Beckers D., van Loghem J. J. Autoimmune haemolytic anaemias. I. Serological studies with pure anti-immunoglobulin reagents. Clin Exp Immunol. 1968 Sep;3(7):605–614. [PMC free article] [PubMed] [Google Scholar]
- Engelfriet C. P., Pondman K. W., Wolters G., Borne AE von dem, Beckers D., Misset-Groenveld G., van Loghem J. J. Autoimmune haemolytic anaemias. 3. Preparation and examination of specific antisera against complement components and products, and their use in serological studies. Clin Exp Immunol. 1970 May;6(5):721–732. [PMC free article] [PubMed] [Google Scholar]
- Engelfriet C. P., Von dem Borne A. E., Beckers D., Reynierse E., Van Loghem J. J. Autoimmune haemolytic anaemias. V. studies on the resistance against complement haemolysis of the red cells of patients with chronic cold agglutinin disease. Clin Exp Immunol. 1972 Jun;11(2):255–264. [PMC free article] [PubMed] [Google Scholar]
- Evans R. S., Turner E., Bingham M., Woods R. Chronic hemolytic anemia due to cold agglutinins. II. The role of C' in red cell destruction. J Clin Invest. 1968 Apr;47(4):691–701. doi: 10.1172/JCI105764. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HUGHES JONES N. C., SZUR L. Determination of the sites of red-cell destruction using 51Cr-labelled cells. Br J Haematol. 1957 Jul;3(3):320–331. doi: 10.1111/j.1365-2141.1957.tb05802.x. [DOI] [PubMed] [Google Scholar]
- JANDL J. H., GREENBERG M. S., YONEMOTO R. H., CASTLE W. B. Clinical determination of the sites of red cell sequestration in hemolytic anemias. J Clin Invest. 1956 Aug;35(8):842–867. doi: 10.1172/JCI103338. [DOI] [PMC free article] [PubMed] [Google Scholar]
- JANDL J. H., KAPLAN M. E. The destruction of red cells by antibodies in man. III. Quantitative factors influencing the patterns of hemolysis in vivo. J Clin Invest. 1960 Jul;39:1145–1156. doi: 10.1172/JCI104129. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LEWIS S. M., SZUR L., DACIE J. V. The pattern of erythrocyte destruction in haemolytic anaemia, as studied with radioactive chromium. Br J Haematol. 1960 Apr;6:122–139. doi: 10.1111/j.1365-2141.1960.tb06224.x. [DOI] [PubMed] [Google Scholar]
- MOLLISON P. L., HUGHES JONES N. C. Sites of removal of incompatible red cells from the circulation. Vox Sang. 1958 Jul;3(4):243–251. doi: 10.1111/j.1423-0410.1958.tb03617.x. [DOI] [PubMed] [Google Scholar]
- MOLLISON P. L., VEALL N. The use of the isotope 51Cr as a label for red cells. Br J Haematol. 1955 Jan;1(1):62–74. doi: 10.1111/j.1365-2141.1955.tb05489.x. [DOI] [PubMed] [Google Scholar]
- Von Dem Borne A. E., Engelfriet C. P., Beckers D., Van Der Kort-Henkes G., Van Der Giessen M., Van Loghem J. J. Autoimmune haemolytic anaemias. II. Warm haemolysins--serological and immunochemical investigations and 51Cr studies. Clin Exp Immunol. 1969 Mar;4(3):333–343. [PMC free article] [PubMed] [Google Scholar]
