Paul Saladino· MD
a healthy 59 year old man ate 80 to 160 grams of ground alfalfa seeds daily on eight occasions or periods of up to six weeks although no symptoms were observed he developed a moderate splenomegaly which is enlargement of the spleen pan cytopenia meaning all of his cell counts were down a coombs positive autoimmune hemolytic anemia comes positive anemia means that there are antibodies attached to his red cells we can which we can detect with a coombs test he develops antinuclear antibodies and hypocomplement anemia meaning that complement was being used as part of this hemolytic process