Altman A R, Maltz C, Janowitz H D
Dig Dis Sci. 1979 Apr;24(4):282-5. doi: 10.1007/BF01296541.
Three cases of autoimmune hemolytic anemia in association with idiopathic ulcerative colitis are reported; the literature is reviewed; and therapeutic modalities are considered. Successful treatment is shown to have resulted with steroids alone, steroids and immunosuppressives, splenectomy, and colectomy. It is concluded that moderate or severe hemolysis should be treated first with high-dose corticosteriods; if unsuccessful, immunosuppressive therapy may be added or a splenectomy performed. Finally, total colectomy should be reserved for fulminant colitis and its complications and is not indicated solely for hemolysis.
报告了3例自身免疫性溶血性贫血合并特发性溃疡性结肠炎的病例；回顾了相关文献；并考虑了治疗方式。结果表明，单独使用类固醇、类固醇与免疫抑制剂、脾切除术和结肠切除术均取得了成功的治疗效果。得出的结论是，中度或重度溶血应首先用大剂量皮质类固醇治疗；如果不成功，可加用免疫抑制治疗或进行脾切除术。最后，全结肠切除术应仅用于暴发性结肠炎及其并发症，而不仅仅用于溶血。
