A 70-year-old man was initially referred to our hospital complaining of back pain and jaundice. Autoimmune pancreatitis was diagnosed. He responded well to steroid therapy. When he was 73 years old, he was referred to our hospital again because of anemia. He had a low hemoglobin level of 9.3g/d
l, and positive Coombs tests, which were suggestive of autoimmune hemolytic anemia. His laboratory data revealed the recurrence of autoimmune pancreatitis, although he had no symptoms. Steroid therapy was very effective on both occasions. This case is the second reported case of autoimmune pancreatitis accompanied by autoimmune hemolytic anemia in Japan.
View full abstract