Case 3-1991: A 17-Year-Old Boy with Autoimmune Hemolytic Anemia and Abnormal Liver Function

Presentation of Case A 17-year-old boy was admitted to the hospital because of autoimmune hemolytic anemia and a question of chronic active hepatitis. The patient was well until 14 months earlier, when symptoms of an upper respiratory tract infection developed, with a lingering cough; jaundice and fatigue soon followed. Evaluation at this hospital three weeks later showed sallow skin and icteric sclerae; the liver and spleen were not felt. There was no history of chills, fever, pruritus, weight loss, nausea, vomiting, diarrhea, recent travel, or exposure to toxic materials. The patient's mother gave a history of thalassemia minor. There was.