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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Imuran? What Has Caused Hemolytic Anemia?

I have been diagnosed with hemlytic anemia and this is the 2nd time I had to have blood transfusions. I am then treated with prednisone and imuran. What is imuran and what has caused this anemia. No one in family has had any condition like this however I do take alot of medications. What medications will cause this?
Thu, 13 Mar 2014
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General & Family Physician 's  Response
Hi
Hemolytic anaemia may be classified according to the means of hemolysis, being either intrinsic in cases where the cause is related to the red blood cell (RBC) itself, or extrinsic in cases where factors external to the RBC dominate.Intrinsic effects may include problems with RBC proteins or oxidative stress handling, whereas external factors include immune attack and microvascular angiopathies (RBCs are mechanically damaged in circulation).
Immune-mediated causes could include transient factors as in Mycoplasma pneumoniae infection (cold agglutinin disease) or permanent factors as in autoimmune diseases like autoimmune hemolytic anemia (itself more common in diseases such as systemic lupus erythematosus, rheumatoid arthritis, hodgkin disease and chronic lymphocytic leukemia)
Treatment includes blood tranfusion in severe anaemia and sometimes immunosuppressive treatment in autoimmune diseases,with prednesoline or azathioprine(imuran)
Azathioprine is an immunosuppressive drug used in organ transplantation and autoimmune diseases and belongs to the chemical class of purine analogues
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What Is Imuran? What Has Caused Hemolytic Anemia?

Hi Hemolytic anaemia may be classified according to the means of hemolysis, being either intrinsic in cases where the cause is related to the red blood cell (RBC) itself, or extrinsic in cases where factors external to the RBC dominate.Intrinsic effects may include problems with RBC proteins or oxidative stress handling, whereas external factors include immune attack and microvascular angiopathies (RBCs are mechanically damaged in circulation). Immune-mediated causes could include transient factors as in Mycoplasma pneumoniae infection (cold agglutinin disease) or permanent factors as in autoimmune diseases like autoimmune hemolytic anemia (itself more common in diseases such as systemic lupus erythematosus, rheumatoid arthritis, hodgkin disease and chronic lymphocytic leukemia) Treatment includes blood tranfusion in severe anaemia and sometimes immunosuppressive treatment in autoimmune diseases,with prednesoline or azathioprine(imuran) Azathioprine is an immunosuppressive drug used in organ transplantation and autoimmune diseases and belongs to the chemical class of purine analogues