Cold autoimmune haemolytic anaemia secondary to Epstein Barr virus infection presenting with peripheral gangrene;

Suneth Karunarathne1, Sajitha Weerasinghe, Dumitha Govindapala

  • 1National Hospital of Sri Lanka, Regent Street, Colombo, Sri Lanka. suneth871@gmail.com.

Thrombosis Journal
|April 20, 2012
PubMed

A sixty year old male presented with dark urine, symptomatic anaemia and peripheral gangrene following cold exposure. Investigations revealed that he had haemolysis and serological evidence of recent Epstein Barr virus infection. Although acrocyanosis is commonly associated with cold agglutinin disease, gangrene is a rare complication. Management of secondary cold agglutinin disease is mainly supportive.

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