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편도철(Do Chul Pyun),김중경(Jung Kyoung Kim),공덕경(Deog Gyeong Gong),김태용(Tae Yong Kim),주운수(Woon Soo Joo),김홍기(Hong Khee Kim),이시래(Si Rhae Lee) 대한내과학회 1989 대한내과학회지 Vol.37 No.4
N/A Antibody formation against the A or B antigen in renal transp1antation resulting in autoimmune hemolytic anemia has been reported on rare occasions. We recently experienced a case of autoimmune hemolytic anemia in a blood group Rh+A male patient, who had received a kidney from his blood group Rh0 mother. He was maintained under immunosuppression with Cyclosporin-A and prednisolone. On days 12 to 13 posttransplantation, hemolysis developed. The Hb dropped from 9.6%/dl to 6.4%/dl, reticulocyte count was 3,0%, and peripheral blood smear showed spherocytosis. LDH was 580units and haptoglobin was 27 mg/dl. His direct Coomb`s test was positive with both anti-IgG and anti-complement. Anti-A was eluted from his serum. He was transfused with 2 units of compatible blood group Rh'0 washed RBCs without any incident. There was improvement of anemia after reducing Cs-A and adding azathioprine.