This document discusses hemolytic anemia, which is a type of anemia caused by the premature destruction of red blood cells. There are two main types - inherited hemolytic anemia caused by genetic mutations, and acquired hemolytic anemia caused by failure of the immune system. Red blood cells can be destroyed inside blood vessels (intravascular hemolysis) or taken up by the spleen and liver and broken down (extravascular hemolysis). Immune hemolytic anemia occurs when the immune system destroys red blood cells, and can be autoimmune, alloimmune, or drug-induced. Symptoms include fatigue, pale skin, and shortness of breath. Diagnosis involves blood tests, and treatment options include steroids,