Idiopathic autoimmune hemolytic anemia

Table of Contents

Alternative Names

Autoimmune hemolytic anemia; Anemia - idiopathic autoimmune hemolytic


Treatment

The first therapy tried is usually a steroid medication, such as prednisone. If steroid medications do not improve the condition, removal of the spleen (splenectomy) may be considered.

Therapy to suppress the immune system is usually given if the person does not respond to steroids and splenectomy. Medications such as azathioprine (Imuran), cyclophosphamide (Cytoxan), and rituximab (Rituxan) have been used.

Blood transfusions are given with caution, because of the potential that blood may not be compatible and may cause further hemolysis.


Support Groups


Expectations (prognosis)

Adults may have long-term disease that keeps returning. In children the anemia is usually short-lived.


Complications
  • Infection (as a complication of treatment)
  • Severe anemia

Calling your health care provider

Call your health care provider if you notice symptoms of anemia.



Review Date: 01/31/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)