A Case of Pregnancy Complicated with Evans Syndrome with Sequential Development of Autoimmune Warm Antibody Hemolytic Anemia and Idiopathic Thrombocytopenic Purpura
Joint Authors
Suzuki, Haruka
Yamanoi, Koji
Ogura, Jumpei
Hirayama, Takahiro
Yasumoto, Koji
Shitanaka, Shimpei
Inayama, Yoshihide
Sakai, Mie
Ohara, Tsutomu
Suginami, Koh
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-14
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The simultaneous or sequential development of autoimmune hemolytic anemia (AIHA) and idiopathic thrombocytopenic purpura (ITP) is known as Evans syndrome.
We experienced a case of Evans syndrome that developed AIHA during pregnancy and ITP long after delivery.
The patient was a 35-year-old pregnant woman (gravida 2, para 1).
A routine blood test at 28 weeks of gestation revealed moderate macrocytic anemia.
Her haptoglobin level was markedly low, and a direct antiglobulin test (DAT) was positive.
Based on these results, AIHA was considered.
A healthy female newborn with bodyweight 3575 g was vaginally delivered uneventfully.
After delivery, the DAT remained positive, but anemia did not develop.
At 203 days after delivery, ITP was detected.
Because AIHA and ITP developed sequentially, she was diagnosed with Evans syndrome.
When AIHA occurs during pregnancy, long-term follow-up is needed because ITP can develop sequentially.
American Psychological Association (APA)
Suzuki, Haruka& Yamanoi, Koji& Ogura, Jumpei& Hirayama, Takahiro& Yasumoto, Koji& Shitanaka, Shimpei…[et al.]. 2019. A Case of Pregnancy Complicated with Evans Syndrome with Sequential Development of Autoimmune Warm Antibody Hemolytic Anemia and Idiopathic Thrombocytopenic Purpura. Case Reports in Obstetrics and Gynecology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141525
Modern Language Association (MLA)
Suzuki, Haruka…[et al.]. A Case of Pregnancy Complicated with Evans Syndrome with Sequential Development of Autoimmune Warm Antibody Hemolytic Anemia and Idiopathic Thrombocytopenic Purpura. Case Reports in Obstetrics and Gynecology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1141525
American Medical Association (AMA)
Suzuki, Haruka& Yamanoi, Koji& Ogura, Jumpei& Hirayama, Takahiro& Yasumoto, Koji& Shitanaka, Shimpei…[et al.]. A Case of Pregnancy Complicated with Evans Syndrome with Sequential Development of Autoimmune Warm Antibody Hemolytic Anemia and Idiopathic Thrombocytopenic Purpura. Case Reports in Obstetrics and Gynecology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141525
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141525