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Autoimmune haemolytic anaemias. I. Serological studies with pure anti-immunoglobulin reagents.

C. Paul Engelfriet, A. E. G. Kr. v. d. Borne, Marijke van der Giessen, Do Beckers, J. J. van Loghem

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Abstract

In this paper the preparation and examination of pure antisera against immunoglobulins is described. The results of serological studies obtained with pure anti-IgG, anti-IgM and anti-IgA sera as well as an anti-complement serum and the blood of four patients with acquired haemolytic anaemia are discussed. The presence of incomplete warm autoantibodies belonging to the G, M and A classes of immunoglobulins was demonstrated. Further, evidence was obtained that warm haemolysins are a separate antibody category independent of the presence of incomplete warm autoantibodies. A new serological classification of the autoimmune haemolytic anaemias based on these findings is given.

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What this paper is about

In this paper the preparation and examination of pure antisera against immunoglobulins is described. The results of serological studies obtained with pure anti-IgG, anti-IgM and anti-IgA sera as well as an anti-complement serum and the blood of four patients with acquired haemolytic anaemia are discussed. The presence of incomplete warm autoantibodies belonging to the G, M and A classes of immunoglobulins was demonstrated. Further, evidence was obtained that warm haemolysins are a separate antibody category independent of the presence of incomplete warm autoantibodies. A new serological classification of the autoimmune haemolytic anaemias based on these findings is given.

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Available abstract

In this paper the preparation and examination of pure antisera against immunoglobulins is described. The results of serological studies obtained with pure anti-IgG, anti-IgM and anti-IgA sera as well as an anti-complement serum and the blood of four patients with acquired haemolytic anaemia are discussed. The presence of incomplete warm autoantibodies belonging to the G, M and A classes of immunoglobulins was demonstrated. Further, evidence was obtained that warm haemolysins are a separate antibody category independent of the presence of incomplete warm autoantibodies. A new serological classification of the autoimmune haemolytic anaemias based on these findings is given.

Key concepts: Serology, Autoantibody, Immunology, Antibody, Haemolysis, Immunoglobulin M, Hemolysis, Hemolysin

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