Ulcerative colitis, autoimmune hemolytic anemia and rectovaginal fistula: report of a case.
A case of autoimmune hemolytic anemia associated with ulcerative colitis and rectovaginal fistula in a 27-year-old woman is reported. It appeared during the first episode of ulcerative colitis occurring in the immediate puerperium. Laboratory studies revealed a positive direct Coombs test with polyspecific sera and monospecific for IgG. Panagglutinins and cold agglutinins with titers under 1:50 were also demonstrated. Treatment with steroid therapy was sufficient for a swift and complete recovery of the patient, the direct Coombs test becoming negative six weeks after admission.
D000328:Adult; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications* / Q000188:drug therapy; D001466:Barium Sulfate; D003093:Colitis, Ulcerative / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003113:Colonoscopy; D003298:Coombs Test; D004733:Enema; D005260:Female; D006801:Humans; D011239:Prednisolone / Q000627:therapeutic use; D011247:Pregnancy; D011644:Puerperal Disorders; D012006:Rectovaginal Fistula / Q000150:complications*; D014815:Vitamins / Q000627:therapeutic use
D014815:Vitamins; D001466:Barium Sulfate; D011239:Prednisolone