[Autoimmune hemolytic anemia and CREST syndrome].
There are few studies addressing the frequency and etiology of anemia in progressive systemic sclerosis. Anemia is present in about 25% of these patients. Among the implicated causes are ferropenia, generally associated with gastrointestinal hemorrhage, and renal failure. In a considerable number of patients, the specific etiology of anemia remained unknown. We report a 59-year-old female with autoimmune hemolytic anemia and incomplete CREST syndrome. We emphasize the rarity of autoimmune hemolysis as a cause of anemia in systemic sclerosis, and we discuss its significance as indirectly supporting the possible autoimmune pathogenesis of that condition.
Servicio de Medicina Interna, Hospital General Vall d'Hebrón, Barcelona.
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R
Jordana
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C
Tolosa
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A
Selva
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Ordi
D000744:Anemia, Hemolytic, Autoimmune / Q000209:etiology*; D002114:Calcinosis / Q000150:complications*; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D005385:Fingers; D006801:Humans; D008875:Middle Aged; D011928:Raynaud Disease / Q000150:complications*; D012594:Scleroderma, Localized / Q000150:complications; D012871:Skin Diseases / Q000150:complications*; D013577:Syndrome; D013684:Telangiectasis / Q000150:complications*; D014034:Toes
Anemia hemolítica autoinmune y síndrome CREST.