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[A case of autoimmune hemolytic anemia and bullous pemphigoid-like skin lesion combined with idiopathic thrombocytopenic purpura].

Abstract
A case of autoimmune hemolytic anemia (AIHA) and bullous pemphigoid (BP)-like skin lesion combined with Idiopathic thrombocytopenic purpura (ITP) is reported. A 25-years-old male, who had been diagnosed as ITP and treated at another hospital, was admitted in this hospital recently complaining of disseminated bullous-vesicular eruptions on the whole body and autoimmune hemolytic anemia. Examinations, disclosed that RBC was 364 X 10(4)/microliters, reticulocyte 40, platelet 3000/microliters, direct and indirect Coombs test positive, and platelet Coombs consumption test was positive leading to the diagnosis of AIHA and ITP, known as "Evans syndrome." Vesicular biopsy-findings and immunofluorescence study showed suspicion of BP, but clinical course and blister was not improved though the administration of prednisolone was performed. Reports of cases of BP complicated by Evans syndrome are very few. AIHA, ITP and BP are considered to have autoimmune disorders and their pathogenetic mechanism are discussed. This patient consulted another hospital one year later, when we heard that skin eruptions already had disappeared.
AuthorsY Aoki, N Miyake, M Yamasowa, F Inoue, T Takamatsu, T Mizumoto, T Okada, M Hirai, H Furukawa
Journal[Rinsho ketsueki] The Japanese journal of clinical hematology (Rinsho Ketsueki) Vol. 31 Issue 3 Pg. 346-51 (Mar 1990) ISSN: 0485-1439 [Print] Japan
PMID2195183 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Anemia, Hemolytic, Autoimmune (etiology)
  • Humans
  • Male
  • Pemphigoid, Bullous (etiology, pathology)
  • Purpura, Thrombocytopenic (complications)
  • Skin (pathology)
  • Skin Diseases, Vesiculobullous (etiology)

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