Cooper R, Tappin J A, Deveshevar S
Postgrad Med J. 1981 Aug;57(670):528-9. doi: 10.1136/pgmj.57.670.528.
A 68-year-old man presented with autoimmune haemolytic anaemia. Investigation revealed underlying bronchial carcinoma. A positive direct Coombs' test failed to revert to negative after removal of the primary tumour. This suggested the presence of metastases which was subsequently shown. The possible significance and origin of the autoantibody is discussed.
一名68岁男性因自身免疫性溶血性贫血就诊。检查发现潜在的支气管癌。在切除原发性肿瘤后,直接抗人球蛋白试验阳性仍未转为阴性。这提示存在转移,随后得到证实。本文讨论了自身抗体的可能意义和来源。