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Immune hemolytic anemia
It is defined as shortened RBC survival mediated through the immune response (antibodies)
WAIHA
Autoantibody reacts with patient’s RBC in vivo
Drug-Dependent or Immune complex (“Innocent Bystander”) Mechanism
Soluble drug-antidrug complex nonspecifically adsorbs loosely to the RBC surface
Drug adsorption (Hapten)
Drugs such as penicillin or cefotetan bind firmly to
Drug-independent
Alpha-methyldopa / Adomet induces production of an autoantibody that recognizes RBC antigen.
Membrane modification
Drugs such as cephalosporins modify the RBCs so that plasma proteins can bind to the membrane nonimmunologically