title: Steroid Refractory Autoimmune Haemolytic Anaemia Secondary to Sarcoidosis Successfully Treated with Rituximab and Mycophenolate Mofetil.
abstract: Autoimmune haemolytic anaemia is not a well-recognised complication of sarcoidosis. We describe the case of a 30-year-old female who presented with acute warm haemolytic anaemia and widespread lymphadenopathy. Sarcoidosis was diagnosed on lymph node biopsy and further investigation. The haemolytic anaemia responded only to a high dose of steroids. Evidence regarding treatment of steroid refractory autoimmune haemolysis secondary to sarcoidosis is lacking. Based on the emergent evidence that both disorders share common immunopathogenic mechanisms involving Th1 and Th17 lymphocytes, our patient was given rituximab and mycophenolate mofetil to successfully suppress the haemolysis and sarcoid activity.
authors: Warwick Hospital, Lakin Road, Warwick, Warwickshire CV34 5BW, UK.
authors: Sarah
authors: 0000-0002-8299-4349
authors: S
authors: Green
authors: Warwick Hospital, Lakin Road, Warwick, Warwickshire CV34 5BW, UK.
authors: Erica
authors: 0000-0001-7927-8109
authors: E
authors: Partridge
authors: Warwick Hospital, Lakin Road, Warwick, Warwickshire CV34 5BW, UK.
authors: Edore
authors: E
authors: Idedevbo
authors: Warwick Hospital, Lakin Road, Warwick, Warwickshire CV34 5BW, UK.
authors: Anton
authors: A
authors: Borg