1. Two apparently separate hemolysins observed in a case of syphilitic paroxysmal cold hemoglobinuria are described.

a. One hemolysin (cold hemolysin) is that responsible for the Donath-Landsteiner reaction.

b. The other (acid hemolysin) is a thermolabile antibody requiring a lowered pH for the production of hemolysis.

2. Review of the literature indicates that a similar acid hemolysin may have been encountered in other reported cases of this disease.

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