title: Spur cell anemia associated with a cirrhotic non-alcoholic steatohepatitis patient.
abstract: Spur cell anemia is an acquired hemolytic anemia, which may occur in patients with severe liver dysfunction, especially in those with alcoholic cirrhosis. Recently, non-alcoholic steatohepatitis (NASH) has been highlighted as one of the causes of chronic liver diseases, which could progress to cirrhosis. Histological features of NASH are indistinguishable from those of alcoholic hepatitis. We report on a cirrhotic NASH patient who developed progressive indirect dominant jaundice and intractable hemolytic anemia during his follow-up. This report shows the first case of a cirrhotic NASH patient who died as a result of spur cell anemia.
authors.affiliation: Department of Medicine and Gastroenterology, Tokyo Women’s Medical University, Tokyo, Japan.
authors.forename: Ikuko
authors.initials: I
authors.lastname: Haruta
authors.forename: Etsuko
authors.initials: E
authors.lastname: Hashimoto
authors.forename: Ayae
authors.initials: A
authors.lastname: Kabutake
authors.forename: Makiko
authors.initials: M
authors.lastname: Taniai
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Tokushige
authors.forename: Keiko
authors.initials: K
authors.lastname: Shiratori