Blood, 1946, Vol. 1, No. 3, pp. 189-201.
© 1946 American Society of Hematology, Inc.
ACUTE HEMOLYTIC ANEMIA AND HEMOGLOBINURIA FOLLOWING
SULFADIAZINE MEDICATION
REPORT OF A CASE
JOSEPH F. ROSS M.D.1 and
BERTHA L. PAEGEL M.D.1
1 Robert Dawson Evans Memorial, Massachusetts Memorial Hospitals, the Department of
Medicine, Boston University School of Medicine, and the Department of Biological Chemistry, Harvard
Medical School. Prepared under tenure of a Welch Fellowship in Internal Medicine of the National
Research Council.
1. A case of acute hemolytic anemia with hemoglobinuria precipitated by
sulfadiazine is described.
2. Spherocytosis and increased hypotonic saline fragility were demonstrated
during the acute phase of the disease.
3. Abnormal hemagglutinins and hemolysins were not present in the patient's
serum.
4. The significance of these findings as related to the etiology of the disease is
discussed.