ArticleCase reports in obstetrics and gynecology2019
A Case of Pregnancy Complicated with Evans Syndrome with Sequential Development of Autoimmune Warm Antibody Hemolytic Anemia and Idiopathic Thrombocytopenic Purpura.
Article in Case reports in obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Pregnancy-associated haemolytic anaemia: A cause not to be forgotten.Obstetric medicine · 2023Article
- Unexpected Thrombocytopenia in a Parturient With Evans Syndrome Complicated by COVID-19 Infection.Cureus · 2022Article
- Severe neonatal autoimmune thrombocytopenia secondary to maternal Evans syndrome.BMJ case reports · 2021Article
- Evans Syndrome in a Jehovah's Witness.Cureus · 2021Article
- Evans Syndrome Associated with Pregnancy and COVID-19 Infection.Case reports in obstetrics and gynecology · 2020Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
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Abstract
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.
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