Hemolytic anemia historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Shyam Patel [2]

Overview

The history of hemolytic anemia dates back to the 16th century, when the initial experiments were conducted on transfusion of blood. Soon after, the development of the simple microscope revolutionized the study of red blood cells, as red blood cells could be directly observed. After multiple patients began to present with jaundice and splenomegaly, it was observed that there was an association between these symptoms and the destruction of red blood cells. Eventually, it was determined that hemolytic anemia was largely due to immune-mediated mechanisms leading to destruction of red blood cells. Since the 1980s, various immunosuppressive medications have been developed to help treat hemolytic anemia.

Historical Perspective

  • In the mid-1500s, seminal experiments were conducted by Richard Lower and Jean-Baptiste Denis on transfusion of blood.[1]
  • In 1663, Swammerdam described minute globules in the blood of a frog.[1]
  • In 1843, Andral proposed the idea that anemia was due to possible destruction of blood, which we now know as hemolysis.[1]
  • In 1854, Dressler described the case of a 10-year-old child who developed hemolytic anemia upon exposure to cold weather. The boy developed red urine, and exam of his urine under the microscope showed a brown pigment with no red blood cells.
  • In 1920, it was noted that primaquine was an effective anti-malarial medication.

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Freedman J (2015). "Autoimmune Hemolysis: A Journey through Time". Transfus Med Hemother. 42 (5): 278–85. doi:10.1159/000437195. PMC 4678316. PMID 26696795.
  2. 2.0 2.1 2.2 2.3 Luzzatto L, Seneca E (2014). "G6PD deficiency: a classic example of pharmacogenetics with on-going clinical implications". Br J Haematol. 164 (4): 469–80. doi:10.1111/bjh.12665. PMC 4153881. PMID 24372186.
  3. WAGLEY PF, SHEN SC (1948). "The spleen as a source of a substance causing agglutination of the red blood cells of certain patients with acquired hemolytic jaundice by an antihuman serum rabbit serum (Coombs' serum)". J Lab Clin Med. 33 (10): 1197–1203. PMID 18886314.
  4. IAFUSCO F, BUFFA V (1962). "[Autoimmune hemolytic anemia in a newborn infant]". Pediatria (Napoli). 70: 1256–64. PMID 13956038.

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