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What Causes PNH?
Hemolysis: The Threat You Cannot See
- Hemolysis is the bursting of red blood cells
- In PNH, hemolysis is always happening
- Ongoing hemolysis can limit the way you live and cause serious health problems such as heart attack or stroke
- A simple blood test for LDH levels can tell you the levels of your hemolysis
- Controlling hemolysis is the key to controlling PNH
Taking action is key to fighting PNH
Ongoing hemolysis is the root cause of the signs, symptoms, and serious health problems of PNH.
No one knows what causes PNH. It is an acquired disease, which means it develops in some people over time. PNH is not contagious, and PNH is not genetic, so it is not inherited from a family member and cannot be passed on to children.
Hemolysis happens when red blood cells burst. With PNH, hemolysis is always happening — even if you can’t see or feel it.
And PNH is progressive, which means the disease can get worse over time.
Why is hemolysis so bad?
When red blood cells burst, they release hemoglobin. Hemoglobin is good for the body when it’s inside your red blood cells.
When it’s outside, it is very dangerous and can harm your body in many ways. Over time, it is very dangerous and can build up and cause serious health problems that are hard to predict.
These health problems can include:
- Kidney failure
- Blood clots
- Stroke
- Heart attack
- Damage to organs such as your liver, brain, and lungs
How will I know hemolysis is happening?
You cannot always see or feel hemolysis, which makes it tough to manage. The results of it often can affect the way you feel and live your life.
Left unmanaged, hemolysis can make you feel very tired and weak. It can also lead to signs and symptoms like:
- Fatigue
- Impaired quality of life
- Trouble swallowing
- Stomach pain
- Shortness of breath
- Dark-colored urine
- Erectile dysfunction (ED)
Remember, you didn’t do anything to cause PNH, but there is a lot you can do to manage PNH. With the right approach, people with PNH can live long, full lives.
Next: Who gets PNH?
Use this interactive tool
to explore the signs and symptoms of PNH and what they mean.
Why am I so tired?
In PNH, there are actually two causes of fatigue: hemolysis itself, which is the main cause of fatigue, and the anemia that’s caused by hemolysis. Fatigue is often worse than the amount of anemia you have, as measured by your hemoglobin level.

