title: Recovery from delirium and psychotic manifestations following treatment of anaemia with off-label rituximab in active cold haemagglutinin disease.
abstract: Anaemia is an independent, commonly under-recognised risk factor for delirium. Prompt management of anaemia and its underlying aetiology could result in recovery from delirium and associated psychotic manifestations. We report this unprecedented case of complete recovery from delirium and challenging behaviour, following treatment of autoimmune haemolytic anaemia with rituximab.
authors.affiliation: Older Person's Unit, St Thomas Hospital, Guy's and St Thomas NHS Foundation Trust, London, UK.
authors.forename: Michail
authors.initials: M
authors.lastname: Kaklamanos
authors.affiliation: Older Person's Unit, St Thomas Hospital, Guy's and St Thomas NHS Foundation Trust, London, UK.
authors.forename: Sadie
authors.initials: S
authors.lastname: Regmi
authors.affiliation: Haematology Unit, St Thomas Hospital, Guy's and St Thomas NHS Foundation Trust, London, UK.
authors.forename: David
authors.initials: D
authors.lastname: Wrench
authors.affiliation: Older Person's Unit, St Thomas Hospital, Guy's and St Thomas NHS Foundation Trust, London, UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Kinirons
mesh_terms: D000369:Aged, 80 and over; D000744:Anemia, Hemolytic, Autoimmune / Q000188:drug therapy* / Q000523:psychology; D003693:Delirium / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007155:Immunologic Factors / Q000627:therapeutic use*; D008297:Male; D056687:Off-Label Use; D000069283:Rituximab / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D007155:Immunologic Factors; D000069283:Rituximab
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