Direct Anti-Globulin Test and Clinical Diagnosis

T. Sugimoto
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Abstract

This chapter focuses on anti-red blood cells antibody and anti-globulin test. The relationship between warm or cold antibody and hemolysis is explained. Direct anti-globulin test (DAT) is a useful clinical examination tool on the diagnosis of autoimmune hemolytic anemia (AIHA); however, false positive or negative results are sometimes detected. This chapter shows the disposition about the surroundings of the IgG antibody in DAT examination. In addition, this chapter contains pointing issue on the diagnosis of AIHA. Some pitfalls about diagnostic AIHA are presented from our experienced cases. To diagnose the background diseases such as lymphoproliferative disorders or autoimmune diseases under the analysis of secondary AIHA is important.
直接抗球蛋白试验与临床诊断
本章重点介绍抗红细胞抗体和抗球蛋白检测。说明了热抗体和冷抗体与溶血的关系。直接抗球蛋白试验(DAT)是诊断自身免疫性溶血性贫血(AIHA)的有效临床检查工具;然而,有时会检测到假阳性或阴性结果。本章阐述了DAT检查中IgG抗体周围环境的处理。此外,本章还对AIHA的诊断提出了针对性的问题。从我们的经验病例中提出了诊断AIHA的一些缺陷。在分析继发性AIHA时,诊断其背景疾病如淋巴增生性疾病或自身免疫性疾病具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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