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Fludarabine-associated autoimmune hemolytic anemia occurring in B-cell chronic lymphocytic leukemia
Authors:Nishida Hiroko  Murase Tadashi  Ueno Hironori  Park Jae Wong  Yano Takahiro  Ikeda Yasuo
Affiliation:

aDivision of Hematology, Department of Internal Medicine, Keio University, School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan

bDivision of Hematology, Department of Internal Medicine, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan

cDepartment of Internal medicine, Fuji Xerox Health Promotion Center, Tokyo, Japan

Abstract:Autoimmune phenomena are reported to occur frequently in B-cell chronic leukemia (B-CLL). Fludarabine, one of the most effective chemotherapeutic agents for CLL, may increase the risk of these phenomena and may be life-threatening. Here we present a case of an 80-year-old man with B-CLL who developed autoimmune hemolytic anemia (AIHA), associated with one cycle of fludarabine treatment, and who was successfully treated with rituximab and prednisolone.
Keywords:B-CLL   Fludarabine   AIHA   Rituximab   Prednisolone
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