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letter
. 2020 May 27;190(1):29–31. doi: 10.1111/bjh.16794

Table I.

Characteristics of seven patients with autoimmune haemolytic anaemia after the onset of COVID‐19.

Patient Age Gender Comorbidity CT‐scan* Oropharyngeal swab (tested by PCR) Haemoglobin (g/l) Reticulocyte count (109/l) Lymphocyte count (109/l) Lactate dehydrogenase (U/l) Haptoglobin (g/l) DAT specificity Optimum temperature Day between COVID‐19 symptoms and AIHA Related pathology AIHA treatment Response
#1 61 M Hypertension, chronic renal failure Moderate Positive 60 477 250 1000 <0·1 IgG + C3d warm 13 CLL Steroids Ongoing
#2 89 F Hypertension, chronic renal failure, atrial fibrillation Mild Positive 84 103 1·7 598 <0·1 IgG + C3d warm 7 MGUS Steroids Ongoing
#3 62 F Hypertension, cirrhosis Severe Positive 108 101 1·3 357 <0·1 C3d cold 4 MZL

1. Steroids

2. Rituximab

PR

Planed

#4 69 F Obesity Moderate Positive 38 215 5·9 2610 <0·1 IgG + C3d cold 10 MZL Steroids PR
#5 61 M Hypertension, chronic renal failure, diabetes, hypercholesterolaemia Mild Positive 72 145 3 807 0·8 C3d cold 11 Prostate cancer RBC infusion Ongoing
#6 61 M Diabetes Severe Positive 70 155 1·2 1800 <0·1 IgG warm 9 None

1. Steroids

2. Rituximab

Failure

Ongoing

#7 75 M Diabetes, hypercholesterolaemia, cardiopathy, obesity, chronic obstructive bronchopneumopathy Moderate Positive 71 98 108 2000 <0·1 IgG warm 6 CLL RBC infusion Ongoing

CT, computed tomography; PCR, polymerase chain reaction; DAT, direct antiglobulin test; AIHA, autoimmune haemolytic anaemia; CLL, chronic lymphocytic leukaemia; MGUS, monoclonal gammopathy of undetermined significance; MZL, marginal zone lymphoma; RBC, red blood cells; PR, partial response.

*

Degree of involvement of the lung was classified as none (0%), minimal (1–25%), mild (26–50%), moderate (51–75%), or severe (76–100%).

MZL B cell clone was detected in the bone marrow.

Patient 6 received rituximab injection because of corticosteroid failure.