Nadeem Ikram* Khalid Hassan** and Samina Tufail*
* Department of Pathology, DHQ Hospital, Rawalpindi.
** Department of Pathology, Pakistan Institute of Medical Sciences, Islamabad.
There are numerous associations between
diseases traditionally considered non- infectious
with infectious agents. These include peptic ulcer,
coronary heart disease, neuropsychiatric disorders,
haematological disorders and malignancies. Out of
infectious diseases, viral hepatitis is also associated
with many extra hepatic complications, with articular,
renal, neurologic, cutaneous and haemapoietic system
involvement. Several autoimmune phenomena can be
observed in the course of viral hepatitis, including
cryoglobulinemia, glomerulonephritis, systemic lupus
erythematoses and arthritis. Beside these welldocumented
problems a rare haematological
complication of viral hepatitis is Autoimmune
Haemolytic Anaemia (AIHA).1, 2