title: Cold autoimmune haemolytic anaemia secondary to Epstein Barr virus infection presenting with peripheral gangrene; case report.
abstract: A sixty year old male presented with dark urine, symptomatic anaemia and peripheral gangrene following cold exposure. Investigations revealed that he had haemolysis and serological evidence of recent Epstein Barr virus infection. Although acrocyanosis is commonly associated with cold agglutinin disease, gangrene is a rare complication. Management of secondary cold agglutinin disease is mainly supportive.
authors.affiliation: National Hospital of Sri Lanka, Regent Street, Colombo, Sri Lanka. suneth871@gmail.com.
authors.forename: Suneth
authors.initials: S
authors.lastname: Karunarathne
authors.forename: Sajitha
authors.initials: S
authors.lastname: Weerasinghe
authors.forename: Dumitha
authors.initials: D
authors.lastname: Govindapala
authors.forename: Harshini
authors.initials: H
authors.lastname: Fernando
authors.forename: Bhaddika
authors.initials: B
authors.lastname: Jayaratne