[Sarcoidosis in a patient with autoimmune hemolytic anemia].

Abstract

A 65-year-old woman was admitted to our hospital because of severe anemia. A skin biopsy was done in January 1994 and sarcoidosis was diagnosed. Diffuse reticular shadows were seen in both lung fields on a chest X-ray film and mediastinal lymph node swelling was seen on a chest CT scan. She was followed as an outpatient and was not treated. She suddenly experienced vertigo and general fatigue in March 1995. Laboratory findings on admission were as follows: Hb 6.2 g/dl, MCV 115.9 fl, Ret 198%, LDH 732 IU/L, I-Bil 1.9 mg/dl, and Coombs' test was positive. Autoimmune hemolytic anemia was diagnosed, and she was treated with prednisolone (1 mg/kg). As of the time of this writing, she has no relapse of hemolytic anemia though prednisolone was discontinued 6 months ago.

• Authors: N Yasuda, M Kohda, M Nomura, K Nagashima, G Takemura, H Takatsu, S Minatoguchi, K Gotoh, H Fujiwara
• Journal: Nihon Kyobu Shikkan Gakkai zasshi (Nihon Kyobu Shikkan Gakkai Zasshi) Vol. 34 Issue 8 Pg. 931-6 (Aug 1996) ISSN: 0301-1542 [Print] Japan
• PMID: 8965407 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Chemical References

• Anti-Inflammatory Agents
• Prednisolone

Topics

• Anemia, Hemolytic, Autoimmune (diagnosis, drug therapy, etiology)
• Anti-Inflammatory Agents (administration & dosage)
• Autoimmunity
• Female
• Humans
• Middle Aged
• Prednisolone (administration & dosage)
• Sarcoidosis (diagnosis, etiology)