KMID : 0191120040190010127
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Journal of Korean Medical Science 2004 Volume.19 No. 1 p.127 ~ p.129
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Hemolytic Anemia as a Sequela of Arsenic Intoxication Following Long-Term Ingestion of Traditional Chinese Medicine
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Lee JJ
Kim YK/Cho SH/Park KS/Chung IJ/Cho D/Ryang DW/Kim HJ
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Abstract
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We report on a 51-yr-old woman who developed intravascular hemolytic anemia caused by arsenic after long-term ingestion of a traditional Chinese medicine (TCM). Twelve years before the admission, she was diagnosed as neurocysticercosis. She has ingested a TCM for about 12 yr instead of undergoing medical therapy for the disease. She was presented with a severe Coombs¡¯-negative hemolytic anemia with hemosiderinuria. The urine arsenic level was elevated suggesting the arsenic intox-ication as a cause of the anemia. She was treated successfully with therapeutic red cell exchange without any sequelae.
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