PCH - 1
Definition:
Paroxysmal Cold Hemoglobinuria
Incidence:
Extremely rare
Massive hemolysis after exposure to cold
Antibody type:
Biphasic IgG – attaches to RBCs at cold temp. and
lysis RBCs at warm temp.
Antigen involved:
Clinical features:
Also called “Donath-Landsteiner” antibody
P antigen
Complement involvement:
C’ fixed to RBCs at low temp.