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A Case of Autoimmune Hemolytic Anemia Associated with Acute Viral Hepatitis B.

Journal of the Korean Pediatric Society 1987;30(9):1034-1039.
Published online September 30, 1987.
A Case of Autoimmune Hemolytic Anemia Associated with Acute Viral Hepatitis B.
Chong Kyu Woo, Eun Kyung Choi, Hae Ryung Chung, Dong Heuk Keum
Department of Pediatrics, Koryo General Hospital, Seoul, Korea
B형 간염에 동반된 자가면역성 용혈성 빈혈 1례
우종규, 최은경, 정혜령, 금동혁
고려병원 소아과
Abstract
We experienced a case of autoimmune hemolytic anemia in 3-year-old male patient associated with acute viral hepatitis B. Characteristic findings of this disease are pallor, fever, tachycardia, jaundice, hemoglobinuria, of which the onset is acute or chronic. Although the pathogenic mechanism of this disease is uncertain, it can be associated with pneumonia, measles, varicella, viral hepatitis (50%) and underlying autoinunune deficiency (32%). Diagnosis was established by clinical features, C.B.C., urinalysis, Commbs’ test, liver function test, immunoglobulin electrophoresis and bone marrow aspiration. The patient improved with transfusion and steroid therapy. Related literature was briefly reviewed.
Key Words: Autoimmune Hemolytic Anemia


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