Open AccessHemolytic Anemia Mimicking Megaloblastic Anemia
Author(s) -
Fayaz Ahmad Sofi,
Mushtaq Ahmad,
Ashiq Ahmad
Publication year - 2015
Publication title -
journal of medical sciences/journal of medical sciences (srinagar. online)
Language(s) - English
Resource type - Journals
eISSN - 2582-063X
pISSN - 0972-110X
DOI - 10.33883/jms.v18i2.267
Subject(s) - macrocytic anemia , medicine , macrocytosis , megaloblastic anemia , anemia , vitamin b12 , folic acid , gastroenterology
Young female diagnosed case of SLE with secondary APLA presented with severe symptomatic anemia, CBC revealed Macrocytic anemia (MCV 129), PBF was suggestive of megaloblastic anemia. Patient was put on treatment parenteral vitamin B12 and folic acid. Anemia worsened; patient was reevaluated and found to have autoimmune hemolytic anemia. Responded to steroids optimally. Macrocytosis in SLE is secondary to folate deficiency and ovalocytosis. JMS 2015; 18(2):156-157