All issues > Volume 30(9); 1987

Case Report

J Korean Pediatr Soc. 1987;30(9):1034-1039. Published online September 30, 1987.

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

Chong Kyu Woo¹, Eun Kyung Choi¹, Hae Ryung Chung¹, Dong Heuk Keum¹

¹Department of Pediatrics, Koryo General Hospital, Seoul, Korea

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.

Keywords :Autoimmune Hemolytic Anemia