{"paper_id":"9c4618a1-98a3-4b1a-870f-56d2ac321c7f","body_text":"CASE REPORTS\nA Case of Anemia with Schistocytosis, Thrombocytopenia, and Acute Renal Failure Caused by Adenomyosis\nKeywords:\nhemolytic anemia,\ndisseminated intravascular coagulation,\nacute tubular necrosis,\nthrombotic microangiopathy,\nadenomyosis\n2011 Volume 50 Issue 20 Pages 2347-2350\nDetails\nAbstract\nA 51-year-old woman with adenomyosis was admitted because of anemia with schistocytosis, thrombocytopenia, and acute renal failure (ARF). Thrombotic microangiopathy (TMA) was considered. Plasma exchange and steroid therapies improved laboratory results. However, renal biopsy specimen revealed acute tubular necrosis (ATN), but not TMA, and thrombocytopenia, diagnosed it as disseminated intravascular coagulation (DIC) but not TMA. Few cases of DIC associated with benign tumors of the uterus and, especially, adenomyosis have been reported. In adenomyosis patients, ARF is usually caused by obstructive uropathy. However, the rare case suggests that hemolytic anemia, DIC, and ARF due to ATN can occur in adenomyosis patients.\n© 2011 by The Japanese Society of Internal Medicine\nFavorites & Alerts\nRecently viewed articles\nPredecessor","source_license":"CC0","license_restricted":false}