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Pathology Outlines - Paroxysmal nocturnal hemoglobinuria (PNH)
2021年7月19日 · Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired somatic mutation in the X linked phosphatidylinositol glycan class A (PIGA) gene, which leaves hematopoietic cells unable to produce the glycosylphosphatidylinositol (GPI) anchor that links cell surface proteins to the plasma membrane (Hematol Transfus Cell Ther 2020 Jul 6 [Epub ahead of print], Blood …
Pathology Outlines - Paroxysmal cold hemoglobinuria (PCH)
2023年10月19日 · Erythroid hyperplasia is a nonspecific sign that can be seen in many disease states where hemolysis or anemia are present. Answer B is incorrect because the direct antiglobulin (Coombs) test is a nonspecific test. Both positive and negative results can be seen in a wide variety of disease states and it does not definitively define PCH.
Pathology Outlines - Hemolytic uremic syndrome / thrombotic ...
2024年3月15日 · Negative Coombs test Reference: Clin J Am Soc Nephrol 2018;13:300. Prognostic factors.
Pathology Outlines - Case of the week #403
Direct antiglobulin (Coombs) test (DAT) is negative. Diagnosis : Thrombocytopenia and microangiopathic hemolytic anemia and a severe ADAMTS13 deficiency (< 10% normal values), in the absence of anti-ADAMTS13 antibodies, suggest a diagnosis of congenital TTP.
Pathology Outlines - Board Review Questions
Leukocyte and platelet counts are within normal limits. Coombs test is positive, at 37C, against all cells in the screen. All of the following are true EXCEPT: The patient has warm autoimmune hemolytic anemia (AIHA) The patient should be worked up for an underlying lymphoma The patients autoantibody is most likely IgM
Pathology Outlines - Pretransfusion testing
2021年7月2日 · Antihuman globulin (AHG) is a reagent (historically referred to as Coombs reagent) that increases the sensitivity of the crossmatch Because clinically significant antibodies are typically IgG (monomeric and hence smaller) antibodies, even if they bind to donor RBCs (i.e. even if the donor RBCs are sensitized), agglutination may not occur ...
Pathology Outlines - Megaloblastic anemia
2021年10月11日 · Clinical signs: loss of vibratory sense and proprioception, positive Romberg test, Babinski reflex, hyporeflexia, clonus Increased incidence of arterial and venous thrombosis due to raised plasma homocysteine levels Clinical features of pernicious anemia: Classic triad at presentation: weakness, sore throat, paraesthesiae
Delayed hemolytic and delayed serologic reactions
Direct antiglobulin test will likely be negative (or at least not newly positive) Passenger lymphocyte syndrome: Patient will have had a recent minor ABO incompatible organ transplant (i.e. group O liver into a group A patient) Anti-A or B or A, B will be found on red cells Malaria or Babesia infected red blood cell product:
Pathology Outlines - Lewis system
2022年4月18日 · Lewis antigens are carbohydrates synthesized from type 1 chains with the fucosyltransferase FUT3 Unmodified type 1 chains are converted to Le a, while H chains are converted to Le b
Pathology Outlines - PathologyOutlines.com
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