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A myAIHAteam Member asked a question 💭
London, AR

My wife is having third relapse of cold AIHA with SMZL. We are in UK now, originally from India. does moving to warm climate help

April 1
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A myAIHAteam Member

no

April 3
myAIHAteam

Does moving to a warmer climate help with cold AIHA relapses?

Cold AIHA is triggered when antibodies bind to red blood cells at colder temperatures, typically around 37-39 degrees Fahrenheit. This means cold weather can directly trigger symptoms and hemolysis (red blood cell destruction).

Moving to a warmer climate could Show Full Answer

Does moving to a warmer climate help with cold AIHA relapses?

Cold AIHA is triggered when antibodies bind to red blood cells at colder temperatures, typically around 37-39 degrees Fahrenheit. This means cold weather can directly trigger symptoms and hemolysis (red blood cell destruction).

Moving to a warmer climate could potentially help reduce cold-triggered episodes since you'd have less exposure to the cold temperatures that activate the autoantibodies. However, this is a significant life decision that should be discussed thoroughly with your wife's hematologist.

Some important considerations:

- Cold AIHA can still occur even in warmer climates, especially with air conditioning, cold drinks, or seasonal temperature drops
- Treating the underlying condition (SMZL in your wife's case) is essential for getting cold AIHA under control
- Other treatment options like corticosteroids, immunosuppressive medications, or therapies targeting the SMZL may be more practical first steps

In the meantime, limiting time outdoors during cold weather, dressing warmly in layers, and keeping the home heated can help manage symptoms while you explore treatment options with her medical team.

Given this is her third relapse, it's crucial to work closely with her doctors about adjusting her treatment plan rather than relying solely on climate change.

April 1

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