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High-dose steroids as a therapeutic option in the management of spur cell haemolytic anaemia

by Karam, Dhauna , Agrawal, Bharat , Swiatkowski, Sean , Purohit, Pant

in Acute Kidney Injury - diagnosis / Acute Kidney Injury - physiopathology / Acute Kidney Injury - therapy / Aged / Alcoholism / Anemia / Anemia, Hemolytic, Autoimmune - diagnosis / Anemia, Hemolytic, Autoimmune - drug therapy / Anemia, Hemolytic, Autoimmune - physiopathology / Blood / Blood transfusions / Case reports / Cholesterol / Chronic illnesses / cirrhosis / Creatinine / Dehydrogenases / Dizziness / Family medical history / Glucocorticoids - administration & dosage / Glucocorticoids - therapeutic use / haematology (drugs and medicines) / Hemoglobin / Humans / Kinases / Laboratories / Lipoproteins / Liver cirrhosis / Liver diseases / Liver Diseases - diagnosis / Liver Diseases - physiopathology / Liver Diseases - therapy / Liver transplants / Male / Malnutrition / medical management / Membranes / Methylprednisolone - administration & dosage / Methylprednisolone - therapeutic use / Mortality / Non-alcoholic Fatty Liver Disease - physiopathology / non-alcoholic steatosis / Novel treatment (new drug/intervention; established drug/procedure in new situation) / Patients / Spleen / Steroids / Steroids - administration & dosage / Steroids - therapeutic use / therapeutic indications / Treatment Outcome / Urine

2018

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High-dose steroids as a therapeutic option in the management of spur cell haemolytic anaemia

by Karam, Dhauna , Agrawal, Bharat , Swiatkowski, Sean , Purohit, Pant

2018

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High-dose steroids as a therapeutic option in the management of spur cell haemolytic anaemia

by Karam, Dhauna , Agrawal, Bharat , Swiatkowski, Sean , Purohit, Pant

2018

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Journal Article

High-dose steroids as a therapeutic option in the management of spur cell haemolytic anaemia

Karam, Dhauna,

Agrawal, Bharat,

Swiatkowski, Sean,

Purohit, Pant

2018

Overview

Spur cell haemolytic anaemia (SCA) is a form of anaemia that can be seen in patients with severely impaired liver function or advanced cirrhosis. It is associated with high mortality. The treatment options for SCA secondary to cirrhosis are limited. Our patient is a middle-aged man who developed SCA and was not a candidate for liver transplantation or splenectomy. High-dose steroids helped ameliorate haemolysis and improve anaemia and general condition of our patient.

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Publisher

BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group

Subject

Acute Kidney Injury - diagnosis

/ Acute Kidney Injury - physiopathology

/ Acute Kidney Injury - therapy

/ Aged

/ Alcoholism

/ Anemia

/ Anemia, Hemolytic, Autoimmune - diagnosis