Acute Hepatitis Type B Complicated with Hemolytic Anemia

  • ISHIYAMA Taijiro
    Department of Internal Medicine, Juntendo University, School of Medicine
  • ABE Sotaro
    Department of Internal Medicine, Juntendo University, School of Medicine
  • HORIE Seichi
    Department of Internal Medicine, Juntendo University, School of Medicine
  • SUGAYA Naoki
    Department of Internal Medicine, Juntendo University, School of Medicine
  • WAKABAYASHI Yoshihisa
    Department of Internal Medicine, Juntendo University, School of Medicine
  • HIROSE Shunichi
    Department of Internal Medicine, Juntendo University, School of Medicine

Bibliographic Information

Other Title
  • B型急性肝炎に併発した溶血性貧血の1例

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Description

A 25-year-old female was admitted to a hospital with low grade fever and jaundice on Feb. 22, 1984. A diangosis of acute hepatitis type B was made from the biochemical findings of markedly elevated serum transaminase and positive HBsAg.<br>But she was referred to our hospital with hyperbililubinemia on March 13, and she developed severe anemia and reticulocytosis from 5th hospital day. A bone marrow aspirate showed hyperplasia of erythroblasts. The level of LDH increased and haptoglobin decreased, but Coombs test was negative. She was diagnosed as hemolytic anemia associated with viral hepatitis and responded excellently to the treatment with high dose prednisolone. Liver function improved thereafter and HBsAg turned to be negative.

Journal

  • Rinsho Ketsueki

    Rinsho Ketsueki 28 (4), 573-577, 1987

    The Japanese Society of Hematology

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