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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Mod+Rheumatol 2009 ; 19 (4): 427-30 Nephropedia Template TP
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A case of cold agglutinin disease in the course of treatment for polymyalgia rheumatica #MMPMID19340395
Nakamura H; Kamiya-Matsumoto K; Kawakami A; Ida H; Hayashi T; Sato S; Kamihira S; Eguchi K
Mod Rheumatol 2009[]; 19 (4): 427-30 PMID19340395show ga
A 60-year-old male who had been treated for polymyalgia rheumatica (PMR) with Raynaud's phenomenon was admitted to our hospital with acrocyanosis and rapid progressive anemia. Hemolytic anemia with reduction of haptoglobin and cold agglutinin was detected, and the patient had a negative Donath-Landsteiner test. A skin biopsy from his toe revealed microthromboembolism without vasculitis, resulting in the diagnosis of cold agglutinin disease (CAD). This is a first case report of CAD complicated with PMR.