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Initial symptoms of drug-induced autoimmune hemolytic anemia are typically vague and reflect mild, moderate, or severe anemia. Symptoms of DIIHA can manifest within hours to months of the initial drug exposure. [1] DIIHA ranges in severity from severe intravascular hemolysis to milder presentations of extravascular hemolysis. [7]
Drug-induced nonautoimmune hemolytic anemia can present with symptoms of anemia such as pallor, fatigue, dizziness, shortness of breath, increased heart rate, or fainting. It can also present with signs and symptoms of hemolysis including abdominal pain, back pain, jaundice , or dark or red urine.
Symptoms of AIHA may be due to the underlying anemia; including shortness of breath or dyspnea, fatigue, headache, muscle weakness and pallor. [10] In cold agglutinin disease (cold antibody type), agglutination and impaired passage of red blood cells through capillaries in the extremities causes acrocyanosis and Raynaud phenomenon with a rare complication of gangrene [4]
Main symptoms that may appear in anemia [20] The hand of a person with severe anemia (on the left, with ring) compared to one without (on the right). A person with anemia may not have any symptoms, depending on the underlying cause, and no symptoms may be noticed, as the anemia is initially mild, and then the symptoms become worse as the anemia worsens.
Drug-induced folate deficiency anemia: D52.1: Protein-deficiency anemia: Protein deficiency anemia is an anemia that results from an inadequate intake of dietary protein. [14] Scurvy: E54: 13930: Scurvy is a disease resulting from a deficiency of vitamin C, [15] which is required for the synthesis of collagen in humans.
Common side effects may include joint pain, rash, vomiting, and headache. [4] Serious side effects may include heart attacks, stroke, increased cancer growth, or pure red cell aplasia. [2] It is unclear if use is safe during pregnancy. [5] [6] They work similar to naturally occurring erythropoietin. [1]
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