Systemic Lupus Erythematosus Presenting with Fulminant Autoimmune Hemolytic Anemia | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 24, Volume 69, Issue 8, October 2017, Page 3104-3107 PDF (580.27 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.12816/0042861 | ||||
 View on SCiNiTO | ||||
| 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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