Francesco Puppo, MD; Augusta Torresin, MD; Gaetano Lotti, MD; Enrico Balleari, MD; Giorgio Orlando, MD; Francesco Indiveri, MD
To the editor: In patients with human immunodeficiency virus (HIV) infection, normochromic-normocytic anemia is common (1). Only four cases of autoimmune hemolytic anemia have been reported in patients with the acquired immunodeficiency syndrome (AIDS) (2), despite the frequent finding of a positive Coombs direct test in the absence of frank hemolysis (3). We describe the first case of autoimmune hemolytic anemia in a HIV-positive asymptomatic person.
In May 1987, a 38-year-old HIV-positive bisexual man had worsening asthenia, malaise, fatigue, and jaundice. The patient denied either intravenous drug abuse or recent therapeutic drug intake. On admission, he was pale and mildly
Puppo F, Torresin A, Lotti G, Balleari E, Orlando G, Indiveri F. Autoimmune Hemolytic Anemia and Human Immunodeficiency Virus (HIV)
Infection. Ann Intern Med. ;109:249–250. doi: 10.7326/0003-4819-109-3-249_2
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Published: Ann Intern Med. 1988;109(3):249-250.
Hematology/Oncology, Infectious Disease, Red Cell Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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