Would it be possible for a body to have adjusted to autoimmune hemolytic anemia over time. I have had fatigue, low grade fevers, positive coombs test, and an alarming drop in blood levels after surgery not losing much. Labs come back low normal.
Worth knowing. Let's finish your workup. Plenty of folks are Coombs-positive but not hemolyzing. If your reticulocyte count is up and you're well-nourished and aren't iron-deficient and it's been a while since surgery, maybe you're hemolyzing -- a reticulocyte count will tell you. With Coombs-pos, fatigue, low-grade fever, get tested for lupus. Your physician needs these missing pieces.
Autoimmune hemolytic. Autoimmune hemolytic anemia, after being treated, may still smolder along at low blood hemoglobin. The body can adapt to a wide range of serum hemoglobin levels, but please see your hematologist to be sure your anemia is optimally controlled.
Could slow onset autoimmune hemolytic anemia potentially go undisguised for a long time? Over a year of FUO, fatigue, pale, low normal labs, coombs +, warm antibodies. Transfusion needed after 400 ml loss in surgery. (hgb was 6, Hct 19%) no answers.
No answers. is sometimes the case with FUO, the longer it stays the less likely an answer is found.It is mainly due to infections, auto-immune disorders or malignancy, but for one year any of those would have been discovered. You don't seem to have auto-immune hemolytic anemia though, at any rate I trust that your treating doctors explored all the possibilities to reach a diagnosis, trust them, the Dx is FUO. Read more...