DOI: 10.36347/sjams.2017.v05i07.038

Pages: 2685-2689

Fourteen children with autoimmune hemolytic Anemia are described. Twelve had acute and two had insidious onset with positive direct coombs test. Pallor was the main presenting complaint followed by hepatomegaly, fever, splenomegaly, jaundice and haemoglobinuria. Out of 14 cases 10 belonged to primary group and 4 to secondary group. Secondary causes were SLE and Lymphoma. Oral Prednisolone produced remission in all cases but 4 had relapses after initial response. 4 out of 10 primary cases needed steroid in a tapering dose for 16-24 wks, 6 cases responded to a short course of 3-4 wks of steroid with no relapse till yet. Average Blood Transfusion given before diagnosis of AIHA was three. Average time duration to diagnosis of AIHA was two days in our setup.