Table II.
Characteristics of the various forms of AIHA.
Clinical form | Frequency (%) | DAT | Ig class | Thermal optimum (°C) | Avidity and ability to fix complement | Antigen specificity | Site of haemolysis |
---|---|---|---|---|---|---|---|
Warm antibodies | 60–70 | IgG+ or IgG+/C3d+ | IgG | 34–37 | −/+ | Anti-Rh | Extravascular |
Cold antibodies | 20–25 | Neg. or C3d+ | IgM | 4–27 | +++ | Anti-I | Extravascular and intravascular |
Cold paroxysmal haemoglobinuria | 6–12 | Neg. or C3d+ | IgG Biphasic |
Fixing 4–27 Lysis 34 37 |
+++ | Anti-P | Intravascular |
Mixed AEA | < 5 | IgG+ or IgG+/C3d+ or C3d+ | IgG/IgM | IgG 34–37 IgM 4–27 |
++ | Anti-Rh Anti-I |
Extravascular and intravascular |
AIHA: autoimmune haemolytic anaemia; DAT: direct antiglobulin test; Ig: immunoglobulin; AEA: anti-erythrocyte autoantibodies; Neg.: negative.