Case Report

A Rare Association of Autoimmune Hemolytic Anemia with Gastric Adenocarcinoma

Table 1

Laboratory data.

On admission48 hours after admissionReference range

White cell count (per µl)616088104500–11000
Hemoglobin (g/dl)6.18.614.0–17.0 (men)
Hematocrit (%)18.224.439.0–50.0
Red cell count (per pl)1.602.464.20–5.70
Mean corpuscular volume (fl)113.899.280.2–99.4
Platelet count (per µl)363,000380,000150,000–450,000
Differential count (%)
Neutrophils66.740.0–80.0
Lymphocytes27.915.0–40.0
Monocytes4.94.0–12.0
Basophils0.20.0–2.0
Eosinophils0.00.10–0.20
Sodium (mmol/l)137135135–145
Potassium (mmol/l)3.53.83.2–4.9
Chloride (mmol/l)1039995–110
Carbon dioxide (mmol/l)242921–32
Glucose (mg/dl)10011370–100
Blood urea nitrogen (mg/dl)14187–18
Creatinine (mg/dl)1.31.10.6–1.3
Calcium (mg/dl)7.88.08.5–10.2
Total protein (g/dl)6.96.66.0–8.2
Albumin (g/dl)2.72.63.4–5.0
Aspartate aminotransferase (U/liter)252115–37
Alanine aminotransferase (U/liter)101012–78
Alkaline phosphatase (U/liter)806845–117
Total bilirubin (U/liter)3.42.70.0–1.1
Conjugated bilirubin (U/liter)1.20.0–0.2
Lactate dehydrogenase (U/liter)61445485–240
Haptoglobin (mg/dl)<830–200
Reticulocyte count (%)19.70.4–2.7
Prothrombin time (seconds)15.512.0–15.0
International normalized ratio (seconds)1.23
Activated prothrombin thromboplastin time (seconds)29.823.0–37.0
Folic acid (ng/ml)4.84.0–18.0
Vitamin B12 (ng/l)669193–986
Iron level (µg/dl)5665–175
Transferrin (mg/dl)191200–360
Saturation (%)2020–44
Ferritin (µg/l)935–244
IgG, Mycoplasma pneumoniae0.70≤0.90
IgM, Mycoplasma pneumoniae0.36≤0.90
Carcinoembryonic antigen (µg/l)3.30.0–3.0
CA 19-9 (U/ml)4.60.0–35.0
Anti-nuclear antibodyPositiveNegative
Anti-double-stranded antibodyNegativeNegative
Ribonucleoprotein antibodyNegativeNegative
Anti-SS-A antibodyNegativeNegative
Anti-SS-B antibodyNegativeNegative
Anti-Jo-1 antibodyNegativeNegative
Anti-scleroderma-70 antibodyNegativeNegative
Anti-histone antibodyNegativeNegative
Anti-centromere antibodyNegativeNegative
Anti-Smith antibodyNegativeNegative
Myeloperoxidase antibodyNegativeNegative
Serine protease-3 antibodyNegativeNegative