| CASE REPORT |
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| Year : 2023 | Volume
: 14
| Issue : 2 | Page : 167-170 |
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Mixed autoimmune hemolytic anemia in a 2-year-old girl
Asim Abdullah Alamri1, Abdulmohsen AlSubhi2, Ibrahim Bali3, Abdullah Alsarrani4, Arwa AlHujaili2, Ahmad Tarwah1
1 Department of Pediatric, Pediatric Hematology and Oncology Unit, King Salman Medical City, Taibah University, Madinah, Saudi Arabia
2 Department of Pediatric, King Salman Medical City, Taibah University, Madinah, Saudi Arabia
3 Department of Pediatric, Pediatric Endocrinology Unit, King Salman Medical City, w, Saudi Arabia
4 Department of Family and Community Medicine, College of Medicine, Taibah University, Madinah, Saudi Arabia
Correspondence Address:
Dr. Asim Abdullah Alamri
Department of Pediatric, Pediatric Hematology and Oncology Unit, King Salman Medical City, Madinah
Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/joah.joah_95_22
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Immune hemolytic anemia is diagnosed when it exhibits the clinical symptoms and laboratory findings of hemolytic anemia, such as pallor, jaundice, anemia, high indirect bilirubin, increased reticulocyte count, and a positive direct antiglobulin test. Depending on the type of antigenic stimulation, this condition can be divided into three distinct subtypes: (1) autoimmune hemolytic anemia (AIHA), (2) alloimmune hemolysis, and (3) drug-induced hemolysis. In addition, the thermal amplitude of autoantibodies is used to categorize AIHA as either a warm (most common), cold, or mixed (rare) subtype. Mixed autoimmune hemolytic anemia is diagnosed when both warm and cold autoantibodies are present. Here, we report a case of a mixed AIHA in a 2-year-old girl who responded well to corticosteroids. Due to the rarity of the condition and the lack of rigorous diagnostic criteria, it is crucial to report this case.
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