Common presentation of an uncommon anaemia in a resource-limited setting: A diagnostic challenge

Shankar Roy; Monika Pathania; Ravi Kant; Minakshi Dhar; Amisha; Paras Malik; Vyas Kumar Rathaur

doi:10.4103/jfmpc.jfmpc_529_19

Common presentation of an uncommon anaemia in a resource-limited setting: A diagnostic challenge

J Family Med Prim Care. 2019 Nov 15;8(11):3766-3768. doi: 10.4103/jfmpc.jfmpc_529_19. eCollection 2019 Nov.

Authors

Shankar Roy¹, Monika Pathania¹, Ravi Kant¹, Minakshi Dhar¹, Amisha¹, Paras Malik¹, Vyas Kumar Rathaur²

Affiliations

¹ Department of Medicine, AIIMS, Rishikesh, Uttarakhand, India.
² Professor, KD Medical College Hospital and Research Institute, Mathura, Uttar Pradesh, India.

Abstract

A 38-year-old female in the reproductive age group presented with anaemia in a resource-poor setting. The patient was given multiple transfusions during the course of her treatment. After a proper work-up she was diagnosed with Coomb's negative autoimmune haemolytic anaemia (AIHA). She was later treated with steroid and she showed significant improvement. Early diagnosis in her case at the primary care level with other causes of anaemia in mind could have prevented unnecessary transfusions and morbidity. Proper history and approach to anaemia is the key in a resource-poor setting.

Keywords: Autoimmune haemolytic anaemia; Coomb's negative; blood transfusion; haemolysis.

Publication types

Case Reports