Immune mediated hemalytic anemia (IMHA/ AIHA)
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What may IMHA be associated with?
Bacterial Infections Corticosteroids Ingestion of toxins (red maple)
What can cause IMHA?
Bacterial Infections Age (more middle aged) Breed ( more cocker span, mini snousters) Sex (more f) Spayed/ Unspayed ( Unsoayed higher) Entire/ neutered (Entire higher) Time of yeaar (more so in may/ june by 50%)
What symptoms are seen with IMHA?
• RBC lysis • Lethagy • Anaemia • Icterus • Increased HR • Enlarged spleen • Increased resp. rate • Hypoxia
How do you diagnose IMHA?
• Visual symptoms • Haematology- rations, CBC, morphology • Look for responsive anaemia • WBC counts
How do you treat IMHA?
• Corticosteroids (or stronger immune modulators e.g cyclosporine) • Blood transfusion
What differential diagnosis are there with IMHA?
Liver failure and anaemia due to other causes e.g. ingestion of toxins (dog- chocolate, raisins etc, cat- spot ons, plants)