A 62-yr-old @entity1 , admitted to Mitsui Memorial Hospital with complaints of @entity1087 , @entity6191 and @entity448 , was diagnosed as @entity99 by positive IgM anti- @entity15773 . On the 13th hospital day, indirect @entity3638 (total @entity648 57 mg/dl, indirect @entity648 38.5 mg/dl) and @entity381 were noted. Hemoglobin concentration decreased to 8.4 g/dl and reticulocytes increased to 6%. Bone marrow showed @entity236 with @entity1373 . Coombs test was negative. After administration of @entity617 40 mg daily for 30 days, hemoglobin concentration increased to 11.9 g/dl and total @entity648 was decreased to 0.4 mg/dl. The liver biopsy specimen obtained on the 62nd day, revealed recovery stage of acute @entity99 . Jaundice with increased indirect @entity648 , @entity417 with @entity31499 , elevated plasma hemoglobin concentration and predominance of LDH1 were indicative of @entity2142 . The enzyme activities in the red blood cells, which were taken 1 year after the onset, were within normal limits. Scanning electron microscopy of the red cells showed no significant abnormalities in their shape and the nature of the surface.

Acute @entity2142 associated with XXXX .

@entity1 :: ('9606', 'Species') :: ['woman'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity648 :: ('MESH:D001663', 'Chemical') :: ['bilirubin'] @entity1373 :: ('MESH:D006965', 'Disease') :: ['erythroid hyperplasia'] @entity448 :: ('MESH:D000855', 'Disease') :: ['anorexia'] @entity15773 :: ('MESH:C537629', 'Disease') :: ['HA'] @entity381 :: ('MESH:D013163', 'Disease') :: ['splenomegaly'] @entity6191 :: ('MESH:D004829', 'Disease') :: ['general malaise'] @entity2142 :: ('MESH:D006461', 'Disease') :: ['hemolysis'] @entity236 :: ('MESH:D001855', 'Disease') :: ['hyperplastic marrow'] @entity99 :: ('MESH:D056486', 'Disease') :: ['acute hepatitis A', 'hepatitis'] @entity3638 :: ('MESH:D006932', 'Disease') :: ['hyperbilirubinemia'] @entity617 :: ('MESH:D011239', 'Chemical') :: ['prednisolone'] @entity31499 :: ('MESH:D045262', 'Disease') :: ['reticulocytosis']
@entity99 :: (MESH:D056486,Disease) :: ['hepatitis A']
