Paroxysmal Cold Hemoglobinuria in a 4-year-old Child

Paroxysmal Cold Hemoglobinuria is a rare cause of intravascularhemolysis presenting in children following an acute viral illness. Itis usually self-limiting in nature. We present the details of a 4-year-old boy who presented with rapid onset intravascularhemolysis. Donath Landsteiner antibody test was positive andhemolysis resolved within two weeks of onset.