Abstract

MIRO JIMENEZ, Yuslier; CASTRO JORGE, Miguel  and  ALLUE FLORES, Leidy. Autoimmune hemolytic anemia as a form of presentation of inflammatory bowel disease. Rev Cub Med Mil [online]. 2017, vol.46, n.2, pp.190-195. ISSN 0138-6557.

Autoimmune haemolytic anemias are those characterized by the destruction of the red cells due to the production of autoantibodies by the patient, against their own erythrocyte antigens. The association with inflammatory bowel disease is described but it is not the most frequent associations. We present a case of a 64-year-old patient who came with diarrhea and decay, oral and perianal ulcerated lesions appeared progressively during admission. Complementary tests showed a positive Coombs hemolytic anemia, endoscopic studies of the digestive tract, continuous ulceration of all the colon from the caecum to the anus and loss of the austras, with imaging came out the enlargement of the spleen in the course of the hemolysis. Was treated with steroids and mesalazine oraly, the manifestations of extravascular hemolysis disappeared and digestive symptoms improved. Was concluded histologically as an inflammatory bowel disease type ulcerative colitis.

Keywords : Anemia autoimmune hemolytic; inflammatory bowel disease.

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