Summary of classic serologic findings in AIHA
Type of AIHA . | Antibody class . | Antibody specificity . | Optimum test phase of antibody reactivity . | DAT result . | Eluate result . |
---|---|---|---|---|---|
Warm | IgG | Broadly reactive | IAT | 2-4+ IgG and C3 or IgG only | Positive—reactive with all/majority of panel RBCs |
Cold | IgM | I/i | RT, 37 °Ca | 2-3+ C3 only | Not usually performed |
Mixed Type | IgG and IgM | Broadly reactive | RT, 37 °C, IAT | 3-4+ IgG and C3 | Positive—reactive with all/majority of panel RBCs |
Type of AIHA . | Antibody class . | Antibody specificity . | Optimum test phase of antibody reactivity . | DAT result . | Eluate result . |
---|---|---|---|---|---|
Warm | IgG | Broadly reactive | IAT | 2-4+ IgG and C3 or IgG only | Positive—reactive with all/majority of panel RBCs |
Cold | IgM | I/i | RT, 37 °Ca | 2-3+ C3 only | Not usually performed |
Mixed Type | IgG and IgM | Broadly reactive | RT, 37 °C, IAT | 3-4+ IgG and C3 | Positive—reactive with all/majority of panel RBCs |
results after 15-to-30 minute incubation at 37 °C.
2-4+, agglutination strength; RT, direct agglutination at room temperature.