Accepted
at 8:23 p.m. Oct, 31, 2023
by
Joe
Author:
nicecube
Type of change:
Content error
Rationale for change
It is extravascular hemolysis not intravascular. Both 2022 first aid page 431 and boards and beyond say extravascular hemolysis for IgM immune hemolytic anemia.
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- IgG → Guarantees extravascular hemolysis
- IgM → Mostly causes extravascular hemolysis
- However, intravascular hemolysis can occur in severe cases through complement activation on RBCs bound by IgM antibodies
- IgG-mediated hemolytic anemia will cause extravascular hemolysis everytime however
- IgM → Mostly causes extravascular hemolysis
- However, intravascular hemolysis can occur in severe cases through complement activation on RBCs bound by IgM antibodies
- IgG-mediated hemolytic anemia will cause extravascular hemolysis everytime however
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Pathoma
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First Aid
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Watch G6PD Deficiency & Autoimmune Hemolytic Anemia (AIHA)
*RBCs with IgM coating are attacked by complement → formation of MAC → hemolysis in blood vessels
Watch G6PD Deficiency & Autoimmune Hemolytic Anemia (AIHA)
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