Which of these medicines is well-known to cause a positive direct Coombs test?
A.
Methyldopa
B.
Labetalol
C.
Hydralazine
D.
Nifedipine
The Answer Is:
A
This question includes an explanation.
Explanation:
Section: (none)
Explanation
The direct Coombs test is used to test for autoimmune hemolyticanemia – a condition in which the body attacks red blood cells, leading to anemia. Some drugs can cause a positive direct Coombs test – methyldopa being one of the most well-known (via IgG-mediated type II hypersensitivity reaction). Other drugs that can cause this effect include quinidine (IgM-mediated activation) and penicillins (at very high doses).
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