1. cold-antibody
type, caused by hemagglutinating antibody (usually IgM class) maximally
active at 4°C; and resulting from severe hemolysis in cold hemagglutinin
disease;
2. warm-antibody
type (which is the most common), acquired hemolytic anemia due to
serum autoantibodies (usually IgG class), maximally active at 37°C,
that react with the
patient's red blood cells; it varies in severity, occurs in all age groups
of both sexes,
and may be idiopathic or secondary to neoplastic, autoimmune, or other
disease.