[Sarcoidosis in a patient with autoimmune hemolytic anemia].
A 65-year-old woman was admitted to our hospital because of severe anemia. A skin biopsy was done in January 1994 and sarcoidosis was diagnosed. Diffuse reticular shadows were seen in both lung fields on a chest X-ray film and mediastinal lymph node swelling was seen on a chest CT scan. She was followed as an outpatient and was not treated. She suddenly experienced vertigo and general fatigue in March 1995. Laboratory findings on admission were as follows: Hb 6.2 g/dl, MCV 115.9 fl, Ret 198%, LDH 732 IU/L, I-Bil 1.9 mg/dl, and Coombs' test was positive. Autoimmune hemolytic anemia was diagnosed, and she was treated with prednisolone (1 mg/kg). As of the time of this writing, she has no relapse of hemolytic anemia though prednisolone was discontinued 6 months ago.
Yasuda
N
N
Second Department of Internal Medicine, Gifu University School of Medicine.
Kohda
M
M
Nomura
M
M
Nagashima
K
K
Takemura
G
G
Takatsu
H
H
Minatoguchi
S
S
Gotoh
K
K
Fujiwara
H
H
D000744:Anemia, Hemolytic, Autoimmune / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D015551:Autoimmunity; D005260:Female; D006801:Humans; D008875:Middle Aged; D011239:Prednisolone / Q000008:administration & dosage; D012507:Sarcoidosis / Q000175:diagnosis / Q000209:etiology*
D000893:Anti-Inflammatory Agents; D011239:Prednisolone