Karki Prakriti, Prasai Parikshit, Chetri Vivek Acharya, Gautam Arun, Maskey Robin
B.P. Koirala Institute of Health Science, Ghopa, Dharan, Nepal.
Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2023 Jul;61(263):614-616. doi: 10.31729/jnma.8217. Epub 2023 Jul 30.
Autoimmune hemolytic anaemia is a relatively rare disorder caused by autoantibodies directed against self-red blood cells. Though autoimmune thyroid disease is associated with other autoimmune diseases, only a few cases of Hashimoto's thyroiditis with autoimmune hemolytic anaemia have been reported. We present a case of a 22-year-old woman, a known case of Hashimoto's thyroiditis whose serum demonstrated antibodies against red bloodcells. Bloodinvestigations were done which showed findings suggestive of hemolytic anemia. She was managed with blood transfusion, thyroxine and steroids. Our study may guide physicians toward possible hemolytic anaemia while treating Hashimoto thyroiditis.
自身免疫性溶血性贫血是一种相对罕见的疾病，由针对自身红细胞的自身抗体引起。虽然自身免疫性甲状腺疾病与其他自身免疫性疾病有关，但仅有少数桥本甲状腺炎合并自身免疫性溶血性贫血的病例报道。我们报告一例22岁女性病例，该患者为已知的桥本甲状腺炎患者，其血清显示出抗红细胞抗体。进行了血液检查，结果提示溶血性贫血。她接受了输血、甲状腺素和类固醇治疗。我们的研究可能会指导医生在治疗桥本甲状腺炎时关注可能出现的溶血性贫血。
