LÂM SÀNG, CẬN LÂM SÀNG THIẾU MÁU TAN MÁU TỰ MIỄN Ở TRẺ EM TẠI KHOA HUYẾT HỌC LÂM SÀNG BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Autoimmune hemolytic anemia (AIHA) is a rare immune disorder. It happens when your body mistakes red blood cells as foreign substances and attacks them. Objectives: To describe the clinical and subclinical characteristics of children with autoimmune hemolytic anemia at the National Hospital of Pediatric. Methods: A survey study in 46 children with autoimmune hemolytic anemia at the Department of Clinical Hematology - National Hospital of Pediatric, using pre-built research medical records. Results: 46 children with autoimmune hemolytic anemia are mainly under 5 years old (80,4%) with a male:female ratio of approximately 1:1. The children admitted to the hospital were anemic with pallor 95,7%, pale skin 71,7% and hemolysis in the blood vessels with dark urine 87% and jaundice 69,9%. Anemia characteristics of children with autoimmune hemolytic anemia are moderate and severe normal red blood cell anemia accounting for 91,4% with hemoglobin concentration of 62,0 g/l. Conclusion: Autoimmune hemolytic anemia is most common in children under 5 years of age with characteristics similar to other hemolytic anemias, although it is a rare disease, it should not be missed, it requires careful clinical examination, the rate meticulous and complete laboratory testing to avoid omission.