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I would think your LDH would be very elevated if it were AIHA. My son had hemolysis from mechanical injury to his red blood cells post BMT as a result of microangiopathy (tiny blood vessel damage), This was from a rare and potentially life threatening reaction to tacrolimus. His hgb kept dropping rapidly, his urine was tea coloured, his LDH was very high, bili somewhat elevated and haptoglobin was nearly 0. Additionally, there were many red cell fragments (schistocytes) in his blood smear. His retics were high also.
Could you be experiencing the beginnings of a similar reaction to either cyclosporin or tacrolimus? It's rare and almost always misdiagnosed initially but it does happen.
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Nicole, mom to Evan (20); diagnosed SAA November 2007, hATG mid-November 2007, no response after 6 months, unrelated 9/10 BMT June 2008, no GVH, health completely restored thanks to our beloved donor Bryan from Tennessee.
www.caringbridge.org/visit/evanmacneil
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