“…However, among the cases of SSc complicated by AIHA, a considerable number of cases of the limited cutaneous type have been reported. 1,4,5,7,[10][11][12]15 In addition, there have been several cases with cold agglutinin, 1,2,4,7,13,16 thrombocytopenia Congestive heart failure and interstitial pneumonitis were seen on chest computed tomography on admission (including autoimmune thrombocytopenia), 4,9,11,14 or IgA deficiency; 9,10 none of these conditions were observed in this case. All three reported cases with elevated serum IgM levels had cold agglutinin, 2,7,13 but the present case did not have cold agglutinin despite the elevated serum IgM level.…”