Shashaty G G, Rath C E, Britt E J
Am J Hematol. 1977;3:199-208. doi: 10.1002/ajh.2830030212.
Three patients are reported in whom autoimmune hemolytic anemia developed during the course of ulcerative colitis. A review of the literature yielded 11 additional cases, and the clinical, immunologic, and therapeutic characteristics are summarized. The results of steroid therapy and splenectomy are similar to those for idiopathic autoimmune hemolytic anemia. The cause and effect relationship between these two diseases is not clear, but colectomy appears to produce remission in hemolysis when the latter is refractory to both steroids and splenectomy.
本文报告了3例在溃疡性结肠炎病程中发生自身免疫性溶血性贫血的患者。文献回顾又发现了11例，现将其临床、免疫学及治疗特点进行总结。类固醇疗法和脾切除术的结果与特发性自身免疫性溶血性贫血相似。这两种疾病之间的因果关系尚不清楚，但当溶血对类固醇和脾切除术均无效时，结肠切除术似乎可使溶血缓解。
