A Case of Rubella Associated with a Severe Autoimmune Hemolytic Anemia due to Low Titer Cold Agglutinin.
スポンサーリンク
概要
- 論文の詳細を見る
A case of low titer cold agglutinin disease with rapidly severe hemolytic attack, which occurred after suffering from rubella, is reported. A 7-year-old girl visited the outpatient clinic of Mutsu General Hospital becuse of fever and exanthema on January 24, 1992 ; she was diagnosed as having rubella. She was admitted with appearance of icterus on January 27, 1992. Examination of the blood showed a hemoglobin 8.6 g/dl, but that dropped rapidly to 3.0 g/dl after 2 days. Blood chemistry findings revealed increased serum indirect bilirubin, serum LDH3 value and decreased serum haptoglobin. Broad-spectrum direct anti-globin test was strongly positive at low (4°C) and room temperature, and weakly positive at body temperature (37°C). Anti-IgM antibody was detected by dithiothreitol test. Serological markers for rubella virus were positive. Cold agglutinin titer was 1 : 256, but the hemolysis occurred near body temperature because cold agglutinin thermal amplitude was broad spectrum. Hence the diagnosis of low titer cold agglutinin disease with rubella virus infection was made.
- 特定非営利活動法人 日本小児血液・がん学会の論文
特定非営利活動法人 日本小児血液・がん学会 | 論文
- The Parent's Emotional Adaptation to the Children's Malignant Disease
- Side Effect of Cranial Radiation in Childhood Acute Leukemia
- Red Blood Cell Volume Distribution Width in Normal Children and in the Patients with Various Kinds of Hematological Disorders.
- Effective Conditioning of Donors for Granulocyte Transfusions with Recombinant Human Granulocyte Colony-Stimulating Factor.
- Two Infant Girls of CNS Leukemia with Chronic Subdural Hematoma