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Systemic lupus erythematosus presenting with mixed-type fulminant autoimmune hemolytic anemia.
Hirano, Yoko; Itonaga, Takaaki; Yasudo, Hiroki; Isojima, Tsuyoshi; Miura, Kenichiro; Harita, Yutaka; Sekiguchi, Masahiro; Kato, Motohiro; Takita, Junko; Oka, Akira.
Afiliação
  • Hirano Y; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Itonaga T; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Yasudo H; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Isojima T; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Miura K; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Harita Y; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Sekiguchi M; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Kato M; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Takita J; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Oka A; Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Pediatr Int ; 58(6): 527-530, 2016 Jun.
Article em En | MEDLINE | ID: mdl-26892457
ABSTRACT
We report the case of a 9-year-old girl who presented with mixed-type fulminant autoimmune hemolytic anemia (AIHA) at the onset of systemic lupus erythematosus (SLE). On admission, laboratory investigations indicated very severe anemia (Hb, 2.7 g/dL) with reticulocytosis and positive direct/indirect Coombs tests. In addition, agglutinative reaction was clinically observed. Based on further examinations, the patient was diagnosed with AIHA complicated with SLE, and mixed-type AIHA was clinically identified. With oral prednisolone and methylprednisolone pulse therapy, the patient entered remission.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Pediatr Int Assunto da revista: PEDIATRIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Japão

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Pediatr Int Assunto da revista: PEDIATRIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Japão