Systemic lupus erythematosus presenting with mixed-type fulminant autoimmune hemolytic anemia

被引：8

作者：

Hirano, Yoko ^{[1
]}

Itonaga, Takaaki ^{[1
]}

Yasudo, Hiroki ^{[1
]}

Isojima, Tsuyoshi ^{[1
]}

Miura, Kenichiro ^{[1
]}

Harita, Yutaka ^{[1
]}

Sekiguchi, Masahiro ^{[1
]}

Kato, Motohiro ^{[1
]}

Takita, Junko ^{[1
]}

Oka, Akira ^{[1
]}

机构：

[1] Univ Tokyo, Grad Sch Med, Dept Pediat, Tokyo, Japan

来源：

PEDIATRICS INTERNATIONAL | 2016年 / 58卷 / 06期

基金：

日本学术振兴会;

关键词：

children; Coombs test; mixed-type autoimmune hemolytic anemia; reticulocytosis; systemic lupus erythematosus;

D O I：

10.1111/ped.12849

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

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, 2.7g/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.

引用

页码：527 / 530

页数：4

共 10 条

[1] Successful treatment of mixed-type autoimmune hemolytic anemia with rituximab in a child following liver transplantation [J].