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Kawasaki disease with autoimmune hemolytic anemia

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Abstract

Background

Association of autoimmune haemolytic anaemia has been seldom reported with Kawasaki disease.

Case characteristics

A 7-month-old boy, presented with prolonged fever, erythematous rash, severe pallor and hepatosplenomegaly.

Observations

Positive Direct Coombs test and coronary artery aneurysm on echocardiography. He was managed with steroids along with intravenous immunoglobulins and aspirin.

Outcome

Early identification of the condition helped in the management.

Message

Patients of autoimmune hemolytic anemia with unusual features such as prolonged fever, skin rash, and mixed antibody response in Coombs test should be evaluated for underlying Kawasaki disease as a possible etiology.

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Author information

Authors and Affiliations

  1. Institute of Child Health, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110 060, India

    P. K. Pruthi

  2. Pediatric Hematology Oncology and BMT Unit, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India

    Dhwanee Thakkar, Nita Radhakrishnan & Anupam Sachdeva

Authors
  1. Dhwanee Thakkar
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  2. Nita Radhakrishnan
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  3. P. K. Pruthi
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  4. Anupam Sachdeva
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Corresponding author

Correspondence to Anupam Sachdeva.

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Thakkar, D., Radhakrishnan, N., Pruthi, P.K. et al. Kawasaki disease with autoimmune hemolytic anemia. Indian Pediatr 52, 245–246 (2015). https://doi.org/10.1007/s13312-015-0617-y

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  • DOI: https://doi.org/10.1007/s13312-015-0617-y

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