미세색전신호를 보인 자가면역용혈빈혈을 동반한급성허혈뇌졸중
Acute Ischemic Stroke Showing Microembolic Signals in a Patient With Autoimmune Hemolytic Anemia
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Autoimmune hemolytic anemia (AIHA) can be considered in the differential diagnosis of hemolytic anemia with aconcomitant cerebral infarction. We report a 79-year-old woman who was stuporous at presentation, and ultimatelydiagnosed with AIHA and cerebral infarction. Microembolic signals (MES) were detected by transcranial Dopplermonitoring on the first hospitalization day. MES disappeared on the sixth hospitalization day following treatment withsteroid and anticoagulation. This case represents a rare arterial ischemic complication of AIHA possibly associated witha hypercoagulable state.
Abstract
Autoimmune hemolytic anemia (AIHA) can be considered in the differential diagnosis of hemolytic anemia with aconcomitant cerebral infarction. We report a 79-year-old woman who was stuporous at presentation, and ultimatelydiagnosed with AIHA and cerebral infarction. Microembolic signals (MES) were detected by transcranial Dopplermonitoring on the first hospitalization day. MES disappeared on the sixth hospitalization day following treatment withsteroid and anticoagulation. This case represents a rare arterial ischemic complication of AIHA possibly associated witha hypercoagulable state.
참고문헌 (10)
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