Today we heard a case of a patient with alcoholic cirrhosis who developed a significant anemia in hospital without overt blood loss. In this case, it turned out to be a large buttock/thigh hematoma which was not detected because the patient was quadraplegic. It mimicked haemolytic anemia because of the massive resorption.
I have previously blogged about anemia here (including hemolytic anemias here, and here)
The consultant mentioned Zieve's syndrome, the constellation of haemolytic anemia, jaundice, hepatitis and lipemia developing after cessation of alcohol consumption -- which Zieve talks about here.
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