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Hereditary acquired
anemia
(Hemolytic anemia)
UNIT III
Hematological diseases
BY. BILAL JAMADAR
Hemolytic ANEMIA
 Hemolytic anemia is anemia due to rise in the rate of red
cell destruction in blood stream
 Two factors can causes the body to destroy its red blood
cells
A. Inherited : due to mutated genes from parents.
B. Acquired : condition develops later due to failure of
immune system
DESTUCTION OF REED BLOOD CELLS
 Destruction of red cells occurs by two mechanism :-
 A .Red cells undergoes lysis in the circulation and release
their contents into plasma (INTRAVASCULAR HEMOLYSIS)
 B .Red cells are taken up by cells of the
RE (Reticuloendothelial system) where they
are destroyed and digested (Extravascular Hemolysis)
Extravascular Heamolysis is more common
TYPES OF HEMOLYTIC ANEMIA
 A. Immune hemolytic anemia: In this the immume system destroyes red
blood cells
 Immune hemolytic anemia has three types
1.AUTOIMMUNE HEMOLYTIC ANEMIA: In this condition, immune system makes
antibodies that attack red blood cells.
2.ALLOIMMUNE HEMOLYTIC ANEMIA: This type of hemolytic anemia occurs if
body makes antibodies against red blood cells that get from wrong blood
transfusion
3.DRUG-INDUCED HEMOLYTIC ANEMIA: Certain medication alter normal
function of immune system to make it think the body's own red blood cell
are dangerous
 B. Non immune hemolytic anemia: It occurs due to non-
immunological reasons such as microbial infection, mechanical trauma
,antiviral agents ,toxins , acute viral hepatitis.
Immune hemolytic anemia
Autoimmune Alloimmune Drugs
warm cold
Hemolytic
Transfusion
reation
Hemolytic
Disease of
The newborn
TYPES OF IMMUNE HEMOLYTIC ANEMIA
CAUSES
 Chemicals,drugs and toxins
 Infections
 Wrong blood group transfusion
 Cancers
 Complication of another disease
 Past blood transfusion
 Pregnancy
Symptoms
 Felling weak or tired more
 Headaches
 Problems concentrating or thinking
 Lightheadedness when you stand up
 Pale skin colour
 Shortness of breath
 Sore toung
DIAGNOSIS
 Absolute reticulocyte count
 Direct or indirect coombs test
 Hemoglobin in the urine
 RBCs, Hemoglobin,Hematocrit
 Serum free hemoglobin
 Platelet count
 Free hemoglobin in serum or urine
TREATMENT
 The first treatment is steroid medicines (prednisone)
 The second is treatment with intravenous immunoglobin (IVIG)
 Removal of spleen (splenectomy)
 Blood transfusions are given with caution
 Drugs like Cytoxan , Imuran , Rituxan are also used
PREVENTION
 Screening for antibodies in donated blood and in the recipient may
prevent hemolytic anemia related to blood transfusion
REFERANCE
 DR.C.M.JANGME,R.D.WDULAR,SHIVKUMAR S.LADDE,DR.B.N.POUL,
PATHOPHYSIOLOGY, FEBRURY 2019, SHIVAJI NAGARJ.M.ROAD PUNE,
3rd EDITION ,NIRALI PUBLICATION,PAGE NO.7.10,11,12,13.

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Hereditary acquired 17.6.22.pptx

  • 1. Hereditary acquired anemia (Hemolytic anemia) UNIT III Hematological diseases BY. BILAL JAMADAR
  • 2. Hemolytic ANEMIA  Hemolytic anemia is anemia due to rise in the rate of red cell destruction in blood stream  Two factors can causes the body to destroy its red blood cells A. Inherited : due to mutated genes from parents. B. Acquired : condition develops later due to failure of immune system
  • 3. DESTUCTION OF REED BLOOD CELLS  Destruction of red cells occurs by two mechanism :-  A .Red cells undergoes lysis in the circulation and release their contents into plasma (INTRAVASCULAR HEMOLYSIS)  B .Red cells are taken up by cells of the RE (Reticuloendothelial system) where they are destroyed and digested (Extravascular Hemolysis) Extravascular Heamolysis is more common
  • 4. TYPES OF HEMOLYTIC ANEMIA  A. Immune hemolytic anemia: In this the immume system destroyes red blood cells  Immune hemolytic anemia has three types 1.AUTOIMMUNE HEMOLYTIC ANEMIA: In this condition, immune system makes antibodies that attack red blood cells. 2.ALLOIMMUNE HEMOLYTIC ANEMIA: This type of hemolytic anemia occurs if body makes antibodies against red blood cells that get from wrong blood transfusion 3.DRUG-INDUCED HEMOLYTIC ANEMIA: Certain medication alter normal function of immune system to make it think the body's own red blood cell are dangerous
  • 5.  B. Non immune hemolytic anemia: It occurs due to non- immunological reasons such as microbial infection, mechanical trauma ,antiviral agents ,toxins , acute viral hepatitis. Immune hemolytic anemia Autoimmune Alloimmune Drugs warm cold Hemolytic Transfusion reation Hemolytic Disease of The newborn TYPES OF IMMUNE HEMOLYTIC ANEMIA
  • 6. CAUSES  Chemicals,drugs and toxins  Infections  Wrong blood group transfusion  Cancers  Complication of another disease  Past blood transfusion  Pregnancy
  • 7. Symptoms  Felling weak or tired more  Headaches  Problems concentrating or thinking  Lightheadedness when you stand up  Pale skin colour  Shortness of breath  Sore toung
  • 8. DIAGNOSIS  Absolute reticulocyte count  Direct or indirect coombs test  Hemoglobin in the urine  RBCs, Hemoglobin,Hematocrit  Serum free hemoglobin  Platelet count  Free hemoglobin in serum or urine
  • 9. TREATMENT  The first treatment is steroid medicines (prednisone)  The second is treatment with intravenous immunoglobin (IVIG)  Removal of spleen (splenectomy)  Blood transfusions are given with caution  Drugs like Cytoxan , Imuran , Rituxan are also used
  • 10. PREVENTION  Screening for antibodies in donated blood and in the recipient may prevent hemolytic anemia related to blood transfusion
  • 11. REFERANCE  DR.C.M.JANGME,R.D.WDULAR,SHIVKUMAR S.LADDE,DR.B.N.POUL, PATHOPHYSIOLOGY, FEBRURY 2019, SHIVAJI NAGARJ.M.ROAD PUNE, 3rd EDITION ,NIRALI PUBLICATION,PAGE NO.7.10,11,12,13.