Wodzinski M A, Lawrence A C
Postgrad Med J. 1985 Mar;61(713):261-2. doi: 10.1136/pgmj.61.713.261.
We describe a case of severe autoimmune haemolytic anaemia developing in newly diagnosed ulcerative colitis of moderate severity. Full immunosuppression with steroids and azathioprine failed to bring about a full remission and a splenectomy was performed which resulted in a remission enabling immunosuppression to be discontinued. This case is compared with three previously described cases of autoimmune haemolytic anaemia associated with severe colitis requiring splenectomy.
我们描述了一例在新诊断的中度溃疡性结肠炎中发生的严重自身免疫性溶血性贫血病例。使用类固醇和硫唑嘌呤进行充分的免疫抑制未能实现完全缓解,于是进行了脾切除术,术后病情缓解,得以停用免疫抑制剂。将该病例与先前描述的另外三例与严重结肠炎相关且需要脾切除术的自身免疫性溶血性贫血病例进行了比较。