Clinically significant autoimmune hemolytic anemia with a negative direct antiglobulin test by routine tube test and positive by column agglutination method

Lai, M.; Rumi, C.; D’Onofrio, G.; Voso, M.T.; Leone, G.

doi:10.21307/immunohematology-2019-526

Abstract

In two to five percent of cases of autoimmune hemolytic anemia (AIHA), the patient’s RBCs are negative in the direct antiglobulin test (DAT). We describe a patient with AIHA with a negative DAT when tested by the traditional tube test but with a strongly positive one when tested by column agglutination. When the DAT was repeated by tube test using 4°C saline washes, it became positive. This phenomenon has been observed when low-affinity antibodies are involved in AIHA. The patient’s history and serologic findings are detailed in this report. Immunohematology 2002;18:109–113.

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Clinically significant autoimmune hemolytic anemia with a negative direct antiglobulin test by routine tube test and positive by column agglutination method

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