Acute auto immune haemolytic anaemia secondary to hepatitis A infection.
Auto immune haemolytic anaemia has been described in association with a variety of hepatotropic viruses, in particular cytomegalovirus, Epstein-Barr virus and hepatitis B. There is a well-recognized association between chronic active hepatitis and auto immune haemolytic anaemia. We present the first reported case of acute hepatitis A which resulted in a fall in haemoglobin concentration from 14.6 to 4.5 g/dl due to an acute haemolytic anaemia with an associated rise in bilirubin from 149 to 960 mumol/l.
Tibble
J A
JA
Department of Gastroenterology, Royal Sussex County Hospital, Brighton, UK.
Ireland
A
A
Duncan
J R
JR
D000208:Acute Disease; D000744:Anemia, Hemolytic, Autoimmune / Q000097:blood / Q000276:immunology* / Q000821:virology*; D006506:Hepatitis A / Q000097:blood / Q000150:complications* / Q000276:immunology*; D006507:Hepatovirus / Q000737:chemistry / Q000276:immunology; D006801:Humans; D008297:Male; D008875:Middle Aged