Primary Cold-Reactive AIHA - 1
Alternate name:
Cold agglutinin disease
Features of cold agglutinin disease:
Chronic
Agglutination occurs at 0 – 5
o
C
Age of patient:
Complement fixed at 20 – 25
o
C
Middle age or elderly
Clinical features of cold agglutinin disease:
Peripheral vasocclusion when extremities exposed to cold
“acrocyanosis” or Raynaud’s phenomena
Skin first turns white
Skin then turns blue
Numbness & pain
Compare Raynaud’s phenomena with Raynaud’s disease