Evidence map›Paper›PMID 35917437›Full record

ArticleJournal of clinical laboratory analysis2022

Cold agglutinin anti-I antibodies in two patients with COVID-19.

Hiroharu Imoto, Satoshi Yoshioka, Daishi Nakagawa, Kohei Hasegawa, Hirokazu Kuroda, Toshikazu Hasuike, Asako Doi, Toshiko Kusumoto, Takayuki Ishikawa

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of clinical laboratory analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  5. Cold agglutinin anti-I antibodies in two patients with COVID-19.Journal of clinical laboratory analysis · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Hiroharu ImotoDepartment of Hematology, Kobe City Medical Center General Hospital, Kobe, Japan.ORCID https://orcid.org/0000-0002-2616-6311
Satoshi YoshiokaDepartment of Hematology, Kobe City Medical Center General Hospital, Kobe, Japan.ORCID https://orcid.org/0000-0003-3664-6324
Daishi NakagawaDepartment of Hematology, Kobe City Medical Center General Hospital, Kobe, Japan.
Kohei HasegawaDepartment of Infectious Diseases, Kobe City Medical Center General Hospital, Kobe, Japan.
Hirokazu KurodaDepartment of Infectious Diseases, Kobe City Medical Center General Hospital, Kobe, Japan.
Toshikazu HasuikeDepartment of Infectious Diseases, Kobe City Medical Center General Hospital, Kobe, Japan.
Asako DoiDepartment of Infectious Diseases, Kobe City Medical Center General Hospital, Kobe, Japan.
Toshiko KusumotoDepartment of Clinical Laboratory, Kobe City Medical Center General Hospital, Kobe, Japan.
Takayuki IshikawaDepartment of Hematology, Kobe City Medical Center General Hospital, Kobe, Japan.
Kobe City Medical Center General Hospital · JPKobe Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCold agglutinin syndrome (CAS) is associated with various diseases. Several studies of CAS associated with coronavirus disease 2019 (COVID-19) reported hemolytic anemia and thrombosis; however, the clinical significance of cold agglutinins (CA) in patients with COVID-19 is unclear. Here, we present two cases of CA identified in the context of COVID-19 without hemolytic anemia and clotting. CASE REPORT AND DISCUSSION: Two patients with no known risk factors for CA were diagnosed with COVID-19; peripheral blood smears reveal red blood cells (RBCs) agglutination. These patients showed a high CA titer. We confirmed retrospectively that the CA was an anti-I antibody. The two COVID-19 cases with a high CA titer showed no hemolysis or thrombosis. Mycoplasma pneumoniae is known to cause CAS, but not all patients who have a high CA titer show hemolysis. Coagulation abnormalities are documented in severe COVID-19 cases. Although CA increases the risk of thrombosis in those with lymphoproliferative diseases, the role of anti-I antibodies in COVID-19 is unclear. The impact of CAS on clinical presentations in COVID-19 remains a matter of verification.

conclusionsA high CA titer was identified in COVID-19 patients without hemolytic anemia and clotting. Anti-I antibodies were identified. Further studies are required to clarify the pathophysiology of CA in COVID-19.

Indexed as

Anemia, HemolyticAnemia, Hemolytic, AutoimmuneCOVID-19AntibodiesCryoglobulinsHemolysisHumansRetrospective StudiesAntibodiescold agglutininsCryoglobulinsanti-I antibodycold agglutininCOVID-19red blood cells

Identifiers

PMID35917437
PMCPMC9459301
OpenAlexW4289525153

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.