title: A case of autoimmune hemolytic anemia associated with an ovarian teratoma.
abstract: Autoimmune hemolytic anemia associated with an ovarian teratoma is a very rare disease. However, treating teratoma is the only method to cure the hemolytic anemia, so it is necessary to include ovarian teratoma in the differential diagnosis of autoimmune hemolytic anemia. We report herein on a case of a young adult patient who had severe autoimmune hemolytic anemia that was induced by an ovarian teratoma. A 25-yr-old woman complained of general weakness and dizziness for 1 week. The hemoglobin level was 4.2 g/dL, and the direct and indirect antiglobulin tests were all positive. The abdominal computed tomography scan revealed a huge left ovarian mass, and this indicated a teratoma. She was refractory to corticosteroid therapy; however, after surgical resection of the ovarian mass, the hemoglobin level and the reticulocyte count were gradually normalized. The mass was well encapsulated and contained hair and teeth. She was diagnosed as having autoimmune hemolytic anemia associated with an ovarian teratoma. To the best of our knowledge, this is the first such a case to be reported in Korea.
authors.affiliation: Department of Internal Medicine, College of Medicine, Hallym University, Chuncheon, Korea.
authors.forename: Ickkeun
authors.initials: I
authors.lastname: Kim
authors.forename: Jue Yong
authors.initials: JY
authors.lastname: Lee
authors.forename: Jung Hye
authors.initials: JH
authors.lastname: Kwon
authors.forename: Joo Young
authors.initials: JY
authors.lastname: Jung
authors.forename: Hun Ho
authors.initials: HH
authors.lastname: Song
authors.forename: Young Iee
authors.initials: YI
authors.lastname: Park
authors.forename: Eusun
authors.initials: E
authors.lastname: Ro
authors.forename: Kyung Chan
authors.initials: KC
authors.lastname: Choi
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000744:Anemia, Hemolytic, Autoimmune / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001803:Blood Transfusion; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013724:Teratoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
chemical_list: D000305:Adrenal Cortex Hormones