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Clinical course from the first examination to admission. The patient was diagnosed as having AIHA in April 2011. Treatment with PSL 60 mg/day was started and the AIHA improved. The dose was gradually tapered and the PSL treatment was completed in November 2011. He no longer had anemia, although the direct and indirect Coombs tests remained positive. He developed marked anemia, with a Hb level of 4.4 g/dL, in early May 2013, and was admitted to our department in mid-May.
