Haemolytic anaemia and myasthenia gravis

Authors

  • I. Bessa Interna do Internato Complementar de Medicina Interna, Serviço de Medicina do Hospital Distrital da Figueira da Foz
  • I. Soles Assistente Hospitalar Eventual de Medicina Interna, Serviço de Medicina do Hospital Distrital da Figueira da Foz
  • H. Santos Assistente Hospitalar Eventual de Medicina Interna, Serviço de Medicina do Hospital Distrital da Figueira da Foz
  • F. Guedes Assistente Hospitalar Graduada de Medicina Interna, Serviço de Medicina do Hospital Distrital da Figueira da Foz
  • A. Pereira Assistente Hospitalar Graduada de Medicina Interna, Serviço de Medicina do Hospital Distrital da Figueira da Foz
  • C. Morais Assistente Hospitalar de Neurologia, Serviço de Medicina do Hospital Distrital da Figueira da Foz

Keywords:

cryoglobulin induced haemolytic anaemia and myasthenia gravis, direct antiglobulin test, myasthenia gravis, antibody

Abstract

The authors present the case of a healthy 16 year­ old caucasian female, who complained of weakness, headaches, dizziness and tachycardia in February of 1993. Clinical examination revealed accentuated pallor.

Laboratory values were compatible with a cryoglobulin induced haemolytic anaemia. She was treated with prednisolone. After 8 days of corticotherapy, and clinical improvement, she was discharged from hospital.

Sixteen months later the clinical symptoms returned with weakness, exhaustion, diplopia, without haemolysis but with leucopenia. Neurological examination was compatible with the diagnosis of myasthenia gravis. is diagnosticated. The thymus was surgically removed and histology revealed lymphoid hyperplasia. The patient started pyridostigmine bromide.

Presently the patient is clinically well, but continues to have a leucopenia with lymphocytosis. ln reference to this case, the authors comment on cryoglobulin induced haemolytic anaemia and myasthenia gravis, it's rarity and coexistence in a patient with immunological disorders.

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References

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Additional Files

Published

1999-06-30

How to Cite

1.
Bessa I, Soles I, Santos H, Guedes F, Pereira A, Morais C. Haemolytic anaemia and myasthenia gravis. RPMI [Internet]. 1999 Jun. 30 [cited 2024 Oct. 17];6(2):98-100. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2050

Issue

Vol. 6 No. 2 (1999): Abril/ Junho

Section

Case Reports

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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