Paroxysmal nocturnal hemoglobinuria (PNH)

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Blood cells

PNH

• Abdominal pain
• Back pain
• Blood clots -- may form in some people
• Dark urine -- comes and goes
• Easy bruising or bleeding
• Headache
• Shortness of breath

Red and white blood cell counts and platelet counts may be low.

Red or brown urine signals the breakdown of red blood cells and that hemoglobin is being released into the body's circulation and eventually into the urine.

Tests that may be done to diagnose this condition may include:

• Complete blood count (CBC)
• Coombs' test
• Flow cytometry to measure certain proteins
• Ham's (acid hemolysin) test
• Serum hemoglobin and haptoglobin
• Sucrose hemolysis test
• Urinalysis
• Urine hemosiderin

Review Date: 03/28/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and James R. Mason, MD, Oncologist, Director, Blood and Marrow Transplantation Program and Stem Cell Processing Lab, Scripps Clinic, Torrey Pines, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).

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