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Previous Volume 329:279 July 22, 1993 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: With reference to the Clinical Problem-Solving case in the March 4 issue,¹ I was surprised that autoimmune hemolytic anemia and neutropenia were not considered in the differential diagnosis.

A pregnant woman taking 5 mg of oral prednisone daily for stable systemic lupus erythematosus presented with severe pitting edema of both legs, a grade 2 systolic murmur, and a hemoglobin level of 6.8 g per deciliter. She was treated for kidney involvement with 300 mg of intravenous hydrocortisone a day and with azathioprine, but three weeks later pneumocystis pneumonia developed. She was treated with trimethoprim-sulfamethoxazole, and agranulocytosis developed. . . . [Full Text of this Article]

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