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© The Author(s) 2020.Case summary A 5-year-old spayed female domestic shorthair pet was known for extreme anaemia. Findings on initial work-up were in keeping with a diagnosis of idiopathic immune-mediated haemolytic anaemia. A combination of prednisolone and mycophenolate mofetil (MMF) was instituted. On revisit about 2 months later, purple blood mobile parameters had been regular, however the plasma had been described as icteric, prompting further investigat