A 53-year-old dock labourer, presented with massive splenomegaly and subsequently developed pancytopenia. Complete haematological remission was observed following splenectomy. Histological examination of the liver and spleen revealed sarcoid granulomata. A year after splenectomy, he died in an acute haemolytic crisis, a very rare complication of sarcoidosis. Evidence of generalized sarcoidosis was found at autopsy. The literature on haematological complications in sarcoidosis is reviewed.
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© 1975 S. Karger AG, Basel
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