The symptoms of immune hemolytic anemia include pale or yellowish skin color, tiredness or fatigue, fast heartbeat or heart rate, shortness of breath, enlarged spleen, and dark urine. The disease is diagnosed by performing several tests. The following indicate that the patient is suffering from the disease: Coombs’ test turning out positive direct or indirect; increased bilirubin levels; increased LDH level (LDH are enzymes that increase when the body is experiencing tissue damage); presence of hemoglobin in the urine; decreased serum haptoglobin level; increased reticulocyte count; and decreased hemoglobin and RBC count.
The Telekom Affair – In May 2007, several former riders admitted to using banned substances (including EPO ) while riding for the team in the mid-1990s, including Erik Zabel , Rolf Aldag , Brian Holm ,  Bjarne Riis ,  Bert Dietz , Udo Bölts and Christian Henn including the seasons in which Riis and Jan Ullrich won the Tour de France.  Team doctors Andreas Schmid and Lothar Heinrich also confessed to participating and administering banned substances. The latter was Team Telekom's sporting director until 3 May 2007, when he was suspended following allegations published in former team member Jef d'Hont 's book.