A woman with an ovarian tumor may develop an autoimmune hemolytic anemia.
Clinical features:
(1) onset of a hemolytic anemia with a positive direct antiglobulin test
(2) presence of an ovarian tumor
(3) poor response to corticosteroid therapy and/or splenectomy
(4) disappearance of the hemolytic anemia following resection of the ovarian tumor
The ovarian tumor is classically a mature teratoma (dermoid cyst) but the syndrome may occur with other types of ovarian tumors.
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Specialty: Immunology/Rheumatology