Hemolytic Anemia Mimicking Megaloblastic Anemia

  • Fayaz Ahmad Sofi Department of Medicine (Rheumatology Division) SKIMS
  • Mushtaq Ahmad Department of Medicine (Rheumatology Division) SKIMS
  • Ashiq Ahmad Department of Medicine (Rheumatology Division) SKIMS
Keywords: SLE, Autoimmune hemolytic anemia, Macrocytosis

Abstract

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

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Author Biographies

Fayaz Ahmad Sofi, Department of Medicine (Rheumatology Division) SKIMS

M.D, Additional Professor

Mushtaq Ahmad, Department of Medicine (Rheumatology Division) SKIMS

M.D, Associate professor

 

Ashiq Ahmad, Department of Medicine (Rheumatology Division) SKIMS

M.D, Senior Resident

Published
2015-12-20
How to Cite
1.
Sofi F, Ahmad M, Ahmad A. Hemolytic Anemia Mimicking Megaloblastic Anemia. jms [Internet]. 2015Dec.20 [cited 2026Oct.4];18(2):156-7. Available from: https://www.jmsskims.org/index.php/jms/article/view/267
Section
Case Reports