Coombs-positive autoimmune hemolytic anemia in ulcerative colitis--a report of two cases.
Two cases of ulcerative colitis with a positive Coombs test are reported herein. In a 30 year old woman, hemolytic anemia was well controlled by excision of a rectal stump left over from a former operation. A 53 year old woman had a positive Coombs test without clinical hemolytic anemia 10 years after undergoing a total procto-colectomy with ileo-anal anastomosis. Thus we concluded that total procto-colectomy may be preventive, as well as therapeutic, for Coombs positive hemolytic anemia associated with ulcerative colitis.
Iwama
T
T
Research Center for Polyposis and Intestinal Disease, Tokyo Medical and Dental University, Japan.
Imajo
M
M
Mishima
Y
Y
D000328:Adult; D000744:Anemia, Hemolytic, Autoimmune / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003093:Colitis, Ulcerative / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003298:Coombs Test; D005260:Female; D006801:Humans; D008875:Middle Aged