Measurement of Donath-Landsteiner antibody-producing cells in idiopathic
nonsyphilitic paroxysmal cold hemoglobinuria (PCH) in children
Y Miyagawa, S Yamada, A Komiyama and T Akabane
A 2-yr-old girl with a nonsyphilitic type of paroxysmal cold hemoglobinuria
(PCH) is reported. We applied the plaque-forming cell (PFC) assay to the
measurement of Donath-Landsteiner (DL) antibody- producing cells in the
patient. Some of the circulating B lymphocytes formed plaques in our assay
system. Initially the number of PFC was 1442 +/- 225/10(6) lymphocytes and
DL titer was 1:16. Thereafter the PFC decreased in number as the DL titer
decreased. Eight weeks later circulating PFC were not found but the DL
titer was still 1:1 positive. The PFC assay appears to be useful as a new
method for obtaining rapid imformation as to the disease status of PCH.
Volume 52,
Issue 1,
pp. 97-101,
07/01/1978
Copyright © 1978 by The American Society of Hematology