Immune hemolytic anemia

Alternative names:

anemia - immune hemolytic

Treatment:

Treatment with prednisone is the first therapy that is tried. If prednisone does not improve the condition, a splenectomy (removal of the spleen) may be considered. Immunosuppressive therapy will be given if the person does not respond to prednisone and splenectomy.

Blood transfusions are given with caution, if indicated for severe anemia, because of the potential that blood may not be compatible and precipitate a reaction.

Expectations (prognosis):

In most people, steroids or splenectomy control anemia. In others, partial control of the anemia is usually achieved.

Complications:

Death rarely occurs from severe anemia. Blood clots related to the destruction of many blood cells may cause a stroke or heart attack. Overwhelming infection may occur as a complication of therapy with steroids, since they reduce the body's ability to fight infection.

Calling your health care provider:

Call your health care provider if unexplained bleeding occurs, or if signs of infection are present.