Abstract
A 65-year-old woman was admitted to our hospital because of severe anemia. A skin biopsy was done in January 1994 and sarcoidosis was diagnosed. Diffuse reticular shadows were seen in both lung fields on a chest X-ray film and mediastinal lymph node swelling was seen on a chest CT scan. She was followed as an outpatient and was not treated. She suddenly experienced vertigo and general fatigue in March 1995. Laboratory findings on admission were as follows: Hb 6.2g/dl, MCV 115.9fl, Ret 198%, LDH 732IU/L, I-Bil 1.9mg/dl, and Coombs' test was positive. Autoimmune hemolytic anemia was diagnosed, and she was treated with prednisolone (1mg/kg). As of the time of this writing, she has no relapse of hemolytic anemia even though prednisolone was discontinued 6 months ago.
