title: Haemolytic anaemia as initial manifestation of Wilson's disease.
abstract: Common manifestations of Wilson's disease are disorders of the liver and brain. A rare complication of this inherited disease is acute intravascular haemolytic anaemia. We report the case of a 33-year old female patient who was admitted to the hospital with acute haemolysis as the initial symptom of Wilson's disease. The haemolysis preceded the definitive diagnosis by 20 months. It is concluded that in any case of unclear haemolytic anaemia, especially in adolescents or in young adults, Wilson's disease should be considered.
authors.affiliation: Abteilung Innere Medizin III, Universität Ulm, Federal Republic of Germany.
authors.forename: H
authors.initials: H
authors.lastname: Lehr
authors.forename: M
authors.initials: M
authors.lastname: Pauschinger
authors.forename: E
authors.initials: E
authors.lastname: Pittke
authors.forename: E
authors.initials: E
authors.lastname: Kurrle
authors.forename: H
authors.initials: H
authors.lastname: Heimpel
mesh_terms: D000208:Acute Disease; D000328:Adult; D000743:Anemia, Hemolytic / Q000097:blood / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006527:Hepatolenticular Degeneration / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D013997:Time Factors