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Treatment of fulminate autoimmune hemolytic anemia

My mother 51 years started to complain of general weakness and paller red hemoglobin before one weak her Hb was 4.5 g/dl and direct coombs test was positive, she admitted to hospital as autoimmune hemolytic anemia and 2 pints of whole blood transfused with 60mg oral prednisolone, yesterday her Hb drop to 3.2 g/dl with yallow eye and red urine and the doctor change oral prednisolone to 80 mg metylprednisolone, to day her Hb is 2.9 g/dl. She is in fulminate hemolysis as Dr said please I need your urgent help.
Asked On : Thu, 5 Aug 2010
Answers:  1 Views:  327
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Cardiologist 's  Response
Hi well come to HCM.
Since she has autoimmune hemolytic anemia steroid are being given and in case of
poor response the dose is being increased. So long she is not out of the crisis she
has to be on steroids and blood transfuion is to be given and other supportive care
as needed. BT given is just replacement and not the cure of the disease and how many
more blood she will require that is not predictable. Kindly keep patience trust your
doctor he will do his best in case of need he take the assitance of hematolaogist, who
are specialised to handle this type of crisis. Thanks
Answered: Sat, 3 Sep 2011
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