Korean J Hematol.
1998 Aug;33(2):256-261.
A Case of Autoimmune Hemolytic Anemia Developed in Chronic Lobular Hepatitis B
- Affiliations
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- 1Department of Internal Medicine, Incheon Christian Hospital, Incheon, Korea.
- 2Department of Clinical Pathology, Incheon Christian Hospital, Incheon, Korea.
- 3Department of Anatomy Pathology, Incheon Christian Hospital, Incheon, Korea.
Abstract
- Although a pathogenic mechanism of hemolytic anemia complicated with viral hepatitis is unknown, it is suggested that there are four mechanisms; 1) In the individual who has predisposition to hemolytic anemia, viral infection accelerates the red cell destruction & hemolysis become obvious. 2) Directly, virus itself injures to the red cell membrane. 3) The serious liver failure & hypersplenism induce the hemolysis. 4) Autoimmune hemolytic anemia because of immunological abnormality caused by viral infection. We experienced a case of autoimmune hemolytic anemia in 33-year-old male patient who was diagnosed as chronic lobular hepatitis B with biopsy. Diagnosis was estabilished by clinical features, blood cell count, routine urinalysis, direct & indirect Coombs test, liver function test, immunoglobulin quantitations, hepatitis B marker, bone marrow aspiration, and liver biopsy. This case was treated with corticosteroid and transfusion. During follow-up, he has been well tolerated.
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