Virmani Samarth, Bhat Rama, Rao Raghavendra, Khanna Ruchee, Agarwal Lipisha
Undergraduate Student, Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Professor, Department of Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
J Clin Diagn Res. 2017 Aug;11(8):OD01-OD02. doi: 10.7860/JCDR/2017/28560.10338. Epub 2017 Aug 1.
Patients living with HIV are commonly diagnosed with anaemia which can have various aetiologies. However, one of the rare causes of anaemia in such patients is Auto Immune Haemolytic Anaemia (AIHA), which is difficult to diagnose due to the absence of reticulocytosis in HIV patients. Such patients can be treated with corticosteroids which can gradually be tapered off over a period of time. The following is a case of a 52-year-old male living with HIV who was diagnosed to have AIHA and was successfully treated with steroids.
感染艾滋病毒的患者通常会被诊断出患有贫血,其病因可能多种多样。然而,这类患者贫血的罕见原因之一是自身免疫性溶血性贫血(AIHA),由于艾滋病毒患者不存在网织红细胞增多现象,所以这种贫血很难诊断。这类患者可以用皮质类固醇进行治疗,且皮质类固醇可以在一段时间内逐渐减量。以下是一例52岁感染艾滋病毒男性患者的病例,该患者被诊断患有自身免疫性溶血性贫血,并通过类固醇成功治愈。