AUTOIMMUNE HEMOLYTIC-ANEMIA PRESENTING 9 YEARS PRIOR TO CASTLEMANS DISEASE

Castleman's disease (CD) is a rare disease of unknown aetiology and pa thogenesis. We present an unusual case of abdominal CD in whom the fir st manifestation was an autoimmune haemolytic anaemia presenting 9 yea rs before the diagnosis. The Coombs test became negative 2 months afte r surgical resection of the mass, suggesting that the mass was the sou rce of the autoantibody. CD may be present in autoimmune haemolytic an aemia in patients with no evidence of any other disease.