Hematology

Cold Agglutinin Disease: Symptoms and Diagnosis

Cold agglutinin disease: mechanism of autoimmune hemolysis by IgM antibodies, symptoms, and features of cold agglutination of erythrocytes in blood tests.

Photo of the patient's hands: pronounced whitening of the finger phalanges in the cold
Photo of the patient’s hands: pronounced whitening of the finger phalanges in the cold

Cold agglutinin disease is an autoimmune hemolytic anemia caused by IgM class antibodies, which are cold agglutinins, maximally active at temperatures from 0 to 37 °C. Patients complain of pain in their fingers, which occurs outdoors in winter. After prolonged exposure to cold, there is a risk of developing gangrene of the fingers. Blood tests show autoagglutination of erythrocytes, which disappears when heated to 37 °C.