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KMID : 0614620080510020137
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Korean Journal of Gastroenterology
2008 Volume.51 No. 2 p.137 ~ p.141
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A Case of Steroid Resistant Autoimmune Hemolytic Anemia in Ulcerative Colitis
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Choi Hyun-Jong
Shim Chan-Sup
Kim Hyun-Jung
Hong Dae-Sik
Hong Su-Jin
Kim Young-Gi
Ko Bong-Min
Lee Moon-Sung
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Abstract
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Autoimmunity is thought to play a central role in the pathogenesis of inflammatory bowel disease and associated extraintestinal manifestations. Autoimmune hemolytic anemia associated with ulcerative colitis is a rare occurrence. No more than 50 cases have been described in the international literatures, and only 2 cases reported in Korea. A 29-year-old woman who was diagnosed as ulcerative colitis two years ago was complicated with autoimmune hemolytic anemia, and did not respond to steroid therapy. Ultimately, total colectomy and splenectomy were carried out for the treatment of ulcerative colitis and hemolytic anemia. After the operation, anemia was resolved. We present the case with a review of literature. (Korean J Gastroenterol 2008;51:137-141)
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KEYWORD
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Ulcerative colitis, Autoimmune hemolytic anemia
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