An Interesting Presentation of Severe Bicytopenia in A Case of SLE
| Autor: | Vindu Srivastava, S Mary Lilly, A. Josephine, M Aswin Manikandan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Autoagglutination Anti-nuclear antibody medicine.diagnostic_test business.industry Complete blood count Wbc count Coombs test Melena Internal medicine General Earth and Planetary Sciences Medicine Platelet medicine.symptom Presentation (obstetrics) business General Environmental Science |
| Zdroj: | Annals of Pathology and Laboratory Medicine. 8:C17-19 |
| ISSN: | 2349-6983 2394-6466 |
| Popis: | We present a case of 25-year-old female who was brought to the hospital for complaints of generalised weakness, fever, and history of melena and haematuria. Following admission complete blood count and peripheral smear was asked; Complete blood count (CBC) findings were haemoglobin 4.2 gm/dl, total WBC count was 14,990, platelet count 7000, reticulocyte count 4%, NRBCs were 15/100 WBCs. Peripheral Smear showed fragmented RBCs, polychromatophils microspherocytes and multiple foci of autoagglutination suggestive of autoimmune haemolytic anaemia. Pertaining to these findings immune workup was done for this patient; coombs test was negative for this patient, but ANA was positive. This identification proved valuable to the patient as; administration of corticosteroids helped to prevent haemolytic transfusion reactions and improved the patient’s haemoglobin and platelet count. |
| Databáze: | OpenAIRE |
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