<prompt> The drug which can be considered as an alternative for splenectomy in severe autoimmune hemolytic anemia is:AdalimubabEculizumabRituximabIV immunoglobulin  <response>: Rituximab is effective in more than 80 of patients with severe autoimmune hemolytic anemia not responding to steroids. Ref: Harrisons principles of internal medicine, 18th edition ; Page :882. 