In hematology, red cell agglutination or autoagglutination is a phenomenon in which red blood cells clump together, forming aggregates. It is caused by the surface of the red cells being coated with antibodies.[1]: 98 This often occurs in cold agglutinin disease, a type of autoimmune hemolytic anemia in which people produce antibodies (termed cold agglutinins) that bind to their red blood cells at cold temperatures and destroy them. People may develop cold agglutinins from lymphoproliferative disorders, from infection with Mycoplasma pneumoniae or Epstein–Barr virus, or idiopathically (without any apparent cause). Red cell agglutination can also occur in paroxysmal nocturnal hemoglobinuria[2]: 13 [3] and warm autoimmune hemolytic anemia.[4]: 88 In cases of red cell agglutination, the direct antiglobulin test can be used to demonstrate the presence of antibodies bound to the red cells.[3]
https://en.wikipedia.org/wiki/Red_cell_agglutination
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