ÖYKÜ TAYFUR YÜREKLİ, Naciye Şemnur BÜYÜKAŞIK, Fatma Ebru AKIN, SEDEF KURAN, Orçun YALAV, Osman ERSOY

Ülseratif kolit zemininde anemi: Bazen farklı düşünmek gerekir

Ülseratif kolit hastalarında en sık anemi nedeni demir eksikliği olmakla birlikte vitamin eksiklikleri, kullanılan immünsupresiflere bağlı anemi de görülebilir. Otoimmün hemolitik anemi eritrositlere karşı üretilen oto- antikorlar sonucu gelişen nadir bir hastalıktır. İdiyopatik veya sekonder olabilir (lenfoproliferatif hastalıklar, sistemik lupus eritematozus, ülsera- tif kolit, enfeksiyon, tümörler). İnflamatuvar barsak hastalığı zemininde otoimmün hemolitik anemi tedavisi genellikle zor olan bir durumdur.

Anemia in a patient with ulcerative colitis: We should sometimes think outside the box

Anemia in ulcerative colitis is most frequently caused by iron deficien- cy. Vitamin deficiencies and immunosuppressive therapy may also play a role in the etiology of anemia. Autoimmune hemolytic anemia is a rare disorder that develops in response to autoantibodies against eryth- rocytes. It can be either idiopathic or secondary (lymphoproliferative disorders, systemic lupus erythematosus, ulcerative colitis, infections, tumors). Autoimmune hemolytic anemia treatment in patients with in- flammatory bowel disease usually presents a challenge.

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