The Indirect Antiglobulin (Coombs’) Test Is Specific but Less Sensitive Than the Direct Antiglobulin Test for Detecting Anti-Erythrocytic Autoantibodies and Thereby Immune-Mediated Hemolytic Anemia in Dogs

نویسندگان

چکیده

The immunodiagnostic assessment of dogs suspected having immune-mediated hemolytic anemia (IMHA) is based on persistent autoagglutination erythrocytes (after three saline washes), marked spherocytosis, and a positive direct antiglobulin (Coombs’) test (DAT). However, the value using indirect (IAT) for detection anti-erythrocytic autoantibodies in serum from IMHA unclear. To evaluate IAT, leftover samples large cohort 94 which DAT results were known incubated with DAT− erythrocytes, five IAT techniques performed (in part different reagents temperatures): microtiter plate (MICRO), microcapillary, laboratory gel column, minitube kit (GEL KIT), immunochromatographic strip kit. Two (MICRO at 37 °C GEL KIT rabbit anti-dog polyvalent reagent) detected against 53% 57% DAT+ dogs, respectively, while other IATs less well. Moreover, analytic specificity methods compared to ranged 96–100%, sensitivity range was only 9–57%. Thus, we still recommend diagnosis monitoring but conclude that result may aid diagnostically when available, fresh red blood cells are not.

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ژورنال

عنوان ژورنال: Veterinary Sciences

سال: 2023

ISSN: ['2397-3463']

DOI: https://doi.org/10.3390/vetsci10070415