Systemic Lupus Erythematosus Presenting with Fulminant Autoimmune Hemolytic Anemia | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 24, Volume 69, Issue 8, October 2017, Pages 3104-3107 PDF (580.27 K) | ||
| Document Type: Original Article | ||
| DOI: 10.12816/0042861 | ||
| Authors | ||
| Hanan Mothaqab Mashi; Ahmed Ali Jaafari; Zainab Ahmad Jafari; Nourah Ali Homaily; Ahmed Shamakhi | ||
| King Fahad Central Hospital | ||
| Abstract | ||
| We describe a female patient 9-year- old girl with Systemic Lupus Erythematosus (SLE) who developed a fulminant autoimmune hemolytic anemia (AIHA) as an isolated symptom of her underlying disease. On admission, laboratory investigations were conducted and revealed high ESR 150 mm\h, severe anemia Hb was 3.4 g/dl with reticulocytosis 9%, low platelet count 74 \ 10^3\uL and positive direct Coombs tests. Upon further examinations, a diagnosis of SLE complicated by AIHA was reached, and methylprednisolone IVIG therapy was prescribed, and remission was approached. | ||
| Keywords | ||
| Systemic lupus erythematosus; children; Coombs test; mixed-type; autoimmune hemolytic anemia; reticulocytosis | ||
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