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A previously healthy 32-year-old male patient was admitted to hospital with malaise, dyspnea, anemia, thrombocytopenia, and leukopenia. Anemia and thrombocytopenia worsened during the third week. Considering the possible need for transfusion, routine ABO and D typing and an antibody detection test were performed.

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Introduction: Chronic myeloid leukemia (CML) is a myeloproliferative neoplasm characterized by the Philadelphia chromosome and uncontrolled granulocyte production. While autoimmune hemolytic anemia (AIHA) is commonly associated with lymphoproliferative disorders such as chronic lymphocytic leukemia, its occurrence in CML is rare, with only a few documented cases. Here, we report a case of concurrent chronic-phase CML and AIHA.

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Serological investigations on penicillin-induced antibodies in the Thai population.

Transfus Med

December 2024

Graduate Program in Biomedical Sciences, Faculty of Allied Health Sciences, Thammasat University, Pathumtani, Thailand.

Article Synopsis
  • The study aimed to evaluate how red blood cells (RBCs) can be coated with penicillin and to analyze the immune reactions in Thai patients' blood samples against these coated RBCs.
  • It was found that penicillin-induced immunologic hemolytic anemia (IHA) may be linked to antibodies (IgG) that attack penicillin-coated RBCs, with evidence of some donors also having low levels of penicillin antibodies (often IgM).
  • Results showed that out of 304 patients, 17 (5.59%) tested positive for antipenicillin using coated RBCs, while only 3 (1.22%) of 246 blood donors showed positive reactions; importantly, no links were found between patient characteristics
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Characteristic symptoms of NSAID-exacerbated respiratory disease (N-ERD) include asthma, chronic eosinophilic rhinosinusitis with nasal polyposis, cysteinyl LT (CysLT) overproduction and NSAIDs hypersensitivity. Some N-ERD patients present with episodic treatment-resistant extra-respiratory symptoms (CysLT-associated coronary artery vasospasm, gastroenteritis, or skin rash). Even when using standard treatments for respiratory and extra-respiratory symptoms, including systemic corticosteroids and aspirin desensitization, it is difficult to control the clinical symptoms and severe type 2 inflammation involved with mast cells, eosinophils, ILC2s, and platelet activation.

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A Case of Autoimmune Myelofibrosis Associated With Autoimmune Hepatitis.

J Hematol

August 2024

Saskatoon Cancer Center, Saskatchewan Cancer Agency, and College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.

Autoimmune myelofibrosis (AIMF) is a distinct, underrecognized, and rare cause of bone marrow fibrosis. It carries a favorable outcome and responds well to immunosuppression. Systemic lupus erythematosus is the most common association with AIMF, but there are other cases of associated autoimmune disorders defined in the literature.

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