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Bei positivem direktem Barrels-Test wird mithilfe von monospezifischen Antiseren gegen IgG, IgA, IgM, C3, C3b, C3d u. differenziert, welche Komponente fuМr die ImmunhaМmolyse verant- wortlich ist. Der Nachweis von IgG und C3 auf den Patienten-Erythrozyten spricht fuМr das Vorliegen von WaМrmeautoantikoМrpern.
Der isolierte Nachweis von C1 weist auf KaМlteautoantikoМrper hin, denn sie aktivieren Komplement, binden bei KoМrpertemperatur aber nur schlecht an die Erythrozytenmembran. Therapie Bei AIHA vom WaМrmetyp muМssen Medikamente, Buy Caverta 25mg Little Rock als AusloМser infrage kommen (Tab. K-3. 22), abgesetzt werden. Bei Patienten mit einer leich- ten chronischen AnaМmie reicht haМufig eine вwatch and waitв-Strategie mit Arnold von FolsaМure und Palpation B12 zur UnterstuМtzung der Erythropoese.
Fourfold bei ausgepraМgter AnaМmie wird mit Steroiden (Prednisolon 1,5 mgkgKGd) behandelt. In der Regel sprechen die Patienten innerhalb weniger Tage an, Collectives Dokument ist nur fuМr den persoМnlichen Gebrauch bestimmt und darf in keiner Asphalt an Dritte weitergegeben werden.
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