| Literature DB >> 28280630 |
Monica Tang1, David Goldstein1.
Abstract
We report a case of a previously well 46-year-old man who presented with microangiopathic haemolytic anaemia (MAHA) of unknown origin. After extensive investigations, he was diagnosed with cancer-related microangiopathic haemolytic anaemia (CR-MAHA) secondary to gastric adenocarcinoma. Initial treatment with plasmapheresis was ineffective, but the patient's haematological abnormalities improved markedly with chemotherapy directed against his gastric cancer. Our case amplifies previous experience of gastric cancer-associated MAHA which responded to treatment with chemotherapy. We review current understanding of the proposed pathophysiology of CR-MAHA and conclude that this condition is ideally treated with chemotherapy.Entities:
Keywords: Thrombotic microangiopathies; anemia; drug therapy; hemolytic; stomach neoplasms; thrombocytopenia
Year: 2017 PMID: 28280630 PMCID: PMC5334044 DOI: 10.21037/jgo.2016.11.14
Source DB: PubMed Journal: J Gastrointest Oncol ISSN: 2078-6891