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Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination

Paroxysmal cold hemoglobinuria (PCH) is an extremely rare subtype of autoimmune hemolytic anemia (AIHA) in adults. PCH is caused by the biphasic Donath–Landsteiner (DL) antibody which fixes complement to red blood cells at low temperatures and dissociates at warmer temperatures, leading to complemen...

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Autores principales: Misawa, Kyohei, Yasuda, Hajime, Koyama, Daisuke, Inano, Tadaaki, Inoguchi, Akemi, Shirasu, Chinami, Takano, Hina, Iwao, Noriaki, Ando, Miki, Koike, Michiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349421/
https://www.ncbi.nlm.nih.gov/pubmed/35941885
http://dx.doi.org/10.1002/jha2.508
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author Misawa, Kyohei
Yasuda, Hajime
Koyama, Daisuke
Inano, Tadaaki
Inoguchi, Akemi
Shirasu, Chinami
Takano, Hina
Iwao, Noriaki
Ando, Miki
Koike, Michiaki
author_facet Misawa, Kyohei
Yasuda, Hajime
Koyama, Daisuke
Inano, Tadaaki
Inoguchi, Akemi
Shirasu, Chinami
Takano, Hina
Iwao, Noriaki
Ando, Miki
Koike, Michiaki
author_sort Misawa, Kyohei
collection PubMed
description Paroxysmal cold hemoglobinuria (PCH) is an extremely rare subtype of autoimmune hemolytic anemia (AIHA) in adults. PCH is caused by the biphasic Donath–Landsteiner (DL) antibody which fixes complement to red blood cells at low temperatures and dissociates at warmer temperatures, leading to complement‐mediated intravascular hemolysis. Autoimmune hematological disorders including AIHA and immune thrombocytopenia have been reported to develop following the mRNA COVID‐19 vaccination. However, PCH developing subsequent to mRNA vaccination has never been reported. We report a 59‐year‐old male who developed PCH approximately a month after his second mRNA COVID‐19 vaccination.
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spelling pubmed-93494212022-08-04 Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination Misawa, Kyohei Yasuda, Hajime Koyama, Daisuke Inano, Tadaaki Inoguchi, Akemi Shirasu, Chinami Takano, Hina Iwao, Noriaki Ando, Miki Koike, Michiaki EJHaem Case Reports Paroxysmal cold hemoglobinuria (PCH) is an extremely rare subtype of autoimmune hemolytic anemia (AIHA) in adults. PCH is caused by the biphasic Donath–Landsteiner (DL) antibody which fixes complement to red blood cells at low temperatures and dissociates at warmer temperatures, leading to complement‐mediated intravascular hemolysis. Autoimmune hematological disorders including AIHA and immune thrombocytopenia have been reported to develop following the mRNA COVID‐19 vaccination. However, PCH developing subsequent to mRNA vaccination has never been reported. We report a 59‐year‐old male who developed PCH approximately a month after his second mRNA COVID‐19 vaccination. John Wiley and Sons Inc. 2022-06-15 /pmc/articles/PMC9349421/ /pubmed/35941885 http://dx.doi.org/10.1002/jha2.508 Text en © 2022 The Authors. eJHaem published by British Society for Haematology and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Misawa, Kyohei
Yasuda, Hajime
Koyama, Daisuke
Inano, Tadaaki
Inoguchi, Akemi
Shirasu, Chinami
Takano, Hina
Iwao, Noriaki
Ando, Miki
Koike, Michiaki
Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination
title Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination
title_full Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination
title_fullStr Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination
title_full_unstemmed Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination
title_short Adult paroxysmal cold hemoglobinuria following mRNA COVID‐19 vaccination
title_sort adult paroxysmal cold hemoglobinuria following mrna covid‐19 vaccination
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349421/
https://www.ncbi.nlm.nih.gov/pubmed/35941885
http://dx.doi.org/10.1002/jha2.508
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