Journal of Mid-life Health

CASE REPORT
Year
: 2015  |  Volume : 6  |  Issue : 3  |  Page : 132--133

Elderly female with Autoimmune hemolytic anemia


Anupam Dey 
 Department of Medicine, All India Institute of Medical Sciences, Bhubaneswar, Orissa, India

Correspondence Address:
Anupam Dey
Department of Medicine, All India Institute of Medical Sciences, Bhubaneswar - 751 019, Orissa
India

Autoimmune hemolytic anemia (AIHA) is a rare disease with an estimated prevalence of around 17/100,000. It is often difficult to diagnose and treat AIHA, especially in elderly. A 60-year-old female was admitted with the complaints of low grade fever, on-off for 6 months, progressive fatigue and dyspnea on exertion. She was transfused with three units of blood within these 6 months. Examination revealed pallor, edema, hemic murmur, and palpable liver. Hb was 2.9 gm%, T Bil 5.2 mg/dl, ESR 160 mm, and reticulocyte count 44.05%. Direct Coombs test was positive, anti-nuclear antibody (ANA) and Anti ds DNA were positive. A diagnosis of systemic lupus erythematosus (SLE) with AIHA was considered and patient was transfused with two units of packed red cells and put on steroid (prednisolone) at 1 mg/kg body weight daily. After 3 weeks, her Hb had increased to 10.4 gm% with gross clinical improvement.


How to cite this article:
Dey A. Elderly female with Autoimmune hemolytic anemia.J Mid-life Health 2015;6:132-133


How to cite this URL:
Dey A. Elderly female with Autoimmune hemolytic anemia. J Mid-life Health [serial online] 2015 [cited 2023 Jan 28 ];6:132-133
Available from: https://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2015;volume=6;issue=3;spage=132;epage=133;aulast=Dey;type=0