Terada K, Tanaka H, Mori R, Kataoka N, Uchikawa M
Department of Pediatrics, Kawasaki Medical School, Okayama, Japan.
J Pediatr Hematol Oncol. 1998 Mar-Apr;20(2):149-51. doi: 10.1097/00043426-199803000-00012.
To describe the findings and cause of anemia and jaundice in a 2-year-old boy.
This boy was admitted with a hemoglobin of 7.8 g/dL, a bilirubin of 1.8 mg/dL, and increased urobilinogen.
On the second day after admission, hemolytic anemia associated with an anti-I cold agglutinin was diagnosed, which was transient and recovered without any treatment.
This is a very rare complication of chickenpox; only five cases have been previously reported and these were all characterized by anti-Pr cold agglutinin with hemolytic anemia after the onset of chickenpox. We report the first case of hemolytic anemia associated with an anti-I cold agglutinin during the incubation period of chickenpox.
描述一名2岁男孩贫血和黄疸的检查结果及病因。
该男孩入院时血红蛋白为7.8 g/dL，胆红素为1.8 mg/dL，尿胆原增加。
入院后第二天，诊断为与抗I型冷凝集素相关的溶血性贫血，该病为一过性，未经任何治疗即康复。
这是水痘非常罕见的并发症；此前仅报道过5例，均表现为水痘发病后出现与抗Pr型冷凝集素相关的溶血性贫血。我们报告了首例水痘潜伏期与抗I型冷凝集素相关的溶血性贫血病例。
