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 XXXX associated with @entity99 .

@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']
@entity2142 :: (MESH:D006461,Disease) :: ['hemolysis']
