Eichner E R
Am J Clin Pathol. 1984 May;81(5):683-7. doi: 10.1093/ajcp/81.5.683.
The full hematologic profile of spider bite hemolytic anemia has not been documented in the literature. The two patients had brisk intravascular hemolysis with direct Coombs' tests positive for complement and with peripheral blood smears showing spherocytosis, erythrophagocytosis, and leukoerythroblastosis. The author's experience, along with that in the literature reviewed herein, suggests that the hemolytic anemia that can follow the bite of the brown recluse spider could be confused with autoimmune hemolytic anemia.
文献中尚未记载棕色隐遁蛛咬伤所致溶血性贫血的完整血液学特征。这两名患者发生了活跃的血管内溶血，直接抗人球蛋白试验显示补体阳性，外周血涂片显示有球形红细胞、红细胞吞噬现象和幼粒 - 幼红细胞血象。作者的经验以及本文所综述的文献表明，棕色隐遁蛛咬伤后可能出现的溶血性贫血可能会与自身免疫性溶血性贫血相混淆。
