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'approaching' AIHA or IMHA
For those
who have CFIDS - Per definition, 'the fatigue' is unknown
http://www.valdezlink.com/re/idiopathicanemia.htm
'Civilian gulf war syndrome' is Chronic Fatigue Immune
Dysfunction Syndrome,
of which the FATIGUE / ANEMIA ... is IMHA or AIHA
To find the fatigue, ask your doctor to ask the lab tech to
take note of this information:
LOOK at the red blood cells
This fatigue is caused by exposure to 2-butoxyethanol
www.valdezlink.com/same.htm
2 pages only ... ending with :
In severe cases of
immune mediated hemolytic anemia, the immune
destruction of red cells is so blatant that the
red cells clump together
(because their antibody coatings stick together)
when a drop of blood is placed on a microscope
slide. Imagine a drop of blood forming not a red
spot but a yellow spot with a small red clump
inside it. This finding is especially for
boding.
LEUKEMOID REACTION
Classically, in
IMHA the stimulation of the bone marrow is so
strong that even the white blood cells lines
(which have very little to do with this disease
but which also are born and incubate in the bone
marrow along side the red blood cells) are
stimulated. This leads to white blood
cell counts that are spectacularly high.
COOMB'S TEST (ALSO
CALLED A "DIRECT ANTIBODY TEST")
This is
a test designed to identify antibodies coating red
blood cell surfaces. This test is the current state
of the art for the diagnosis of IMHA but,
unfortunately, it is not as helpful as it might
seem. It can be erroneously positive in the
presence of inflammation or infectious disease
(which might lead to harmless attachment of antibody
to red cell surfaces) or in the event of prior blood
transfusion (ultimately transfused red cells are
removed from the immune system). The Coomb's
test can be erroneously negative for a number of
reasons as well. If the clinical picture
fits with IMHA, often the Coomb's test is
skipped.
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