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In hematology, red cell agglutination or autoagglutination is a phenomenon in which red blood cells clump together, forming aggregates. It is caused by the surface of the red cells being coated with antibodies .
This image explains agglutination in the blood. Agglutination is the clumping of particles. The word agglutination comes from the Latin agglutinare (glueing to).. Agglutination is a reaction in which particles (as red blood cells or bacteria) suspended in a liquid collect into clumps usually as a response to a specific antibody.
Rouleaux formation on wet smear. Rouleaux (singular is rouleau) are stacks or aggregations of red blood cells (RBCs) that form because of the unique discoid shape of the cells in vertebrates.
If the slide coagulase test is negative, a tube test should follow as a confirmation. Clumping in both drops is an indication of autoagglutination, so a tube test should be carried out. Tube test is not performed each institutions but most of the result depends on blood cultures from lab.
The direct and indirect Coombs tests, also known as antiglobulin test (AGT), are blood tests used in immunohematology.The direct Coombs test detects antibodies that are stuck to the surface of the red blood cells. [1]
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Symptoms of AIHA may be due to the underlying anemia; including shortness of breath or dyspnea, fatigue, headache, muscle weakness and pallor. [10] In cold agglutinin disease (cold antibody type), agglutination and impaired passage of red blood cells through capillaries in the extremities causes acrocyanosis and Raynaud phenomenon with a rare complication of gangrene [4]