2015•J Med SciOpen access

Hemolytic Anemia Mimicking Megaloblastic Anemia

Fayaz Ahmad Sofi, Mushtaq Ahmad, Ashiq Ahmad

Abstract

Young female diagnosed case of SLE with secondary APLA presented with severe symptomatic anemia, CBC revealed Macrocytic anemia (MCV 129), PBF was suggestive of megaloblastic anemia. Patient was put on treatment parenteral vitamin B12 and folic acid. Anemia worsened; patient was reevaluated and found to have autoimmune hemolytic anemia. Responded to steroids optimally. Macrocytosis in SLE is secondary to folate deficiency and ovalocytosis. JMS 2015; 18(2):156-157

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Key concepts: Macrocytic anemia, Medicine, Macrocytosis, Megaloblastic anemia, Anemia, Vitamin B12, Folic acid, Gastroenterology