A patient with severe body aches without fever progressing to dengue shock syndrome.
نویسندگان
چکیده
Investigations showed that the patient had severe haemolytic anaemia on presentation, the haemoglobin was 6.2 g/dl, with a positive haemolytic screen of reticulocytosis, indirect hyperbilirubinaemia and erythroid hyperplasia in the bone marrow. According to the blood picture it is a spherocytic anaemia and the positive DAT indicates that it is immune mediated. Since it is positive for both C3d and IgG, it is considered as warm autoimmune hemolytic anaemia. However, subsequently her urine was strongly positive for haemosiderin which showed evidence of intravascular haemolysis. References
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عنوان ژورنال:
- The Ceylon medical journal
دوره 58 4 شماره
صفحات -
تاریخ انتشار 2013