ArticleInternal medicine (Tokyo, Japan)2026
Warm Autoimmune Hemolytic Anemia Associated with Pancreatic Adenocarcinoma Showing Ectopic Expression of Band 3 Protein: A Case Report.
Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Autoimmune hemolytic anemia (AIHA) is rare in solid tumors and may represent a paraneoplastic phenomenon. We describe the case of a 73-year-old woman with unresectable pancreatic adenocarcinoma who developed steroid-refractory warm AIHA. Prednisolone partially improved her anemia but not her hemolysis. Chemotherapy with modified FOLFIRINOX followed by gemcitabine plus nab-paclitaxel improved both the tumor and anemia, enabling steroid tapering. Conversion surgery revealed the ectopic expression of band 3 in tumor cells. This case suggests that anti-band 3 antibodies may mediate paraneoplastic AIHA and emphasizes the importance of tumor control in steroid-refractory cases.
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