{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:36:19Z","timestamp":1777869379916,"version":"3.51.4"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Herzzentrum G\u00f6ttingen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Innere Medizin"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Eine 48-j\u00e4hrige Patientin mit bekannter autoimmunh\u00e4molytischer An\u00e4mie (AIHA) stellte sich mit ausgepr\u00e4gter An\u00e4mie und Panzytopenie vor. Trotz typischer H\u00e4molyseparameter und positivem Coombs-Test mit Nachweis von W\u00e4rmeantik\u00f6rpern zeigte sich eine hyporegenerative Erythropoese, sodass in der Zusammenschau von einem kombinierten Geschehen aus gesteigertem Erythrozytenabbau und eingeschr\u00e4nkter h\u00e4matopoetischer Kapazit\u00e4t auszugehen war. Die weiterf\u00fchrende Diagnostik ergab den Nachweis einer aktiven Parvovirus-B19-Infektion. Die Fallkonstellation verdeutlicht, dass die Koinzidenz einer AIHA mit einer Parvovirus-B19-Infektion ein atypisches h\u00e4matologisches Bild erzeugen und die Diagnosestellung erheblich erschweren kann.<\/jats:p>","DOI":"10.1007\/s00108-025-02018-9","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T11:20:14Z","timestamp":1764069614000},"page":"582-587","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Wenn AIHA nicht alles erkl\u00e4rt: Parvovirus-B19-Infektion und Panzytopenie als differenzialdiagnostische Herausforderung","When AIHA does not explain everything: parvovirus B19\u00a0infection and pancytopenia as a\u00a0differential diagnostic challenge"],"prefix":"10.1007","volume":"67","author":[{"given":"W.","family":"Harms","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Akdas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Schanz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Wulf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Br\u00f6kers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"issue":"15","key":"2018_CR1","doi-asserted-by":"publisher","first-page":"1407","DOI":"10.1056\/NEJMra2033982","volume":"385","author":"S Berentsen","year":"2021","unstructured":"Berentsen\u00a0S, Barcellini\u00a0W (2021) Autoimmune Hemolytic Anemias. 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