Cold Agglutinin Hemolytic Anemia: Management with an Environmental Suit

Brief Reports1 February 1987Cold Agglutinin Hemolytic Anemia: Management with an Environmental SuitJOHN R. BARTHOLOMEW, M.D., WILLIAM R. BELL, M.D., R. SUE SHIREY, M.S.JOHN R. BARTHOLOMEW, M.D.Search for more papers by this author, WILLIAM R. BELL, M.D.Search for more papers by this author, R. SUE SHIREY, M.S.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-106-2-243 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCold Agglutinin hemolytic anemia due to cold autoantibodies associated with Mycoplasma pneumoniae is rare. Optimal treatment includes antibiotics and maintenance of a constant warm environment for the patient. This treatment, however, may result in a prolonged, costly, and confining hospitalization.We report the use of an environmental suit for a patient with severe hemolysis due toM. pneumoniaepneumonia. This suit provides a constant temperature and has enabled the patient to journey outside his room, despite winter temperatures, yet avoid further hemolytic episodes. Early discharge was possible and has facilitated the patient's return to home and work as well as...References1. PRUZANSKISHUMAK WK. Biologic activity of cold-reacting autoantibodies. N Engl J Med. 1977;297:538-42, 583-9. CrossrefMedlineGoogle Scholar2. AXELSONLOBUGLIO JA. Immune hemolytic anemia. Med Clin North Am. 1980;64:597-606. CrossrefMedlineGoogle Scholar3. HORWITZ C. Autoimmune hemolytic anemia: 3. Cold antibody type. Postgrad Med. 1979;66:189-93, 196-8, 200. CrossrefMedlineGoogle Scholar4. SCHREIBERHERSKOVITZGOLDWEIN ABM. Low-titer cold-hemagglutinin disease: mechanism of hemolysis and response to corticosteroids. N Engl J Med. 1977;296:1490-4. CrossrefMedlineGoogle Scholar5. SHULMANBRANCHNELSONTHOMPSONSAXENAPETZ IDJJSL. Autoimmune hemolytic anemia with both cold and warm antibodies. JAMA. 1985;253:1746-8. CrossrefMedlineGoogle Scholar6. HIPPEJENSENOLESENLINDTHOMSEN EKHKP. Chlorambucil treatment of patients with cold agglutinin syndrome. Blood. 1970;35:68-72. CrossrefMedlineGoogle Scholar7. EVANSBAXTERGILLILAND REB. Chronic hemolytic anemia due to cold agglutinins: a 20-year history of benign gammopathy with response to chlorambucil. Blood. 1973;42:463-70. CrossrefMedlineGoogle Scholar8. MURPHYLOBUGLIO SA. Drug therapy of autoimmune hemolytic anemia. Semin Hematol. 1976;13:323-34. MedlineGoogle Scholar9. TAFTPROPPSULLIVAN ERS. Plasma exchange for cold agglutinin hemolytic anemia. Transfusion. 1977;17:173-6. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: The Johns Hopkins University Hospital Baltimore, Maryland. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAutoantibodies Directed against Erythrocytes in Autoimmune Hemolytic AnemiaCold agglutinin diseaseDiagnosis and treatment of cold agglutinin mediated autoimmune hemolytic anemiaHow I manage cold agglutinin diseaseSevere hemolytic anemia associated with Mycoplasma Pneumoniae pneumoniaImmunreaktionen gegen ErythrozytenA Last Resort Modality Using Cryofiltration Apheresis for the Treatment of Cold Hemagglutinin Disease in a Veterans Administration HospitalClassification and Clinical Characteristics of Autoimmune Hemolytic AnemiasManagement of Autoimmune Hemolytic AnemiasSevere autoimmune hemolytic anemia with cold agglutinin and sclerodermic features — favorable response to danazolHaemolytic anaemia caused by anti-Pr a following rubella infectionINFECTIOUS MONONUCLEOSIS COMPLICATED BY SEVERE IMMUNE HEMOLYSISCold AgglutinationAutoimmunhämolytische Anämien 1 February 1987Volume 106, Issue 2Page: 243-244KeywordsAgglutininsHeartHemolytic anemiaHospital medicineHospitalizationsLungsMycoplasma pneumoniaePneumoniaResearch grantsTemperature Issue Published: 1 February 1987 PDF DownloadLoading ...