Primary Evans syndrome in an adult man

Archita Makharia; Manoj Lakhotia; Brateen Roy

doi:10.1136/bcr-2021-243051

Primary Evans syndrome in an adult man

BMJ Case Rep. 2021 Dec 9;14(12):e243051. doi: 10.1136/bcr-2021-243051.

Authors

Archita Makharia¹, Manoj Lakhotia², Brateen Roy²

Affiliations

¹ General Medicine, Dr Sampurnanand Medical College, Jodhpur, India archita.makharia@gmail.com.
² General Medicine, Dr Sampurnanand Medical College, Jodhpur, India.

Abstract

Evans syndrome (ES) is a simultaneous or subsequent development of two haematological disorders, autoimmune haemolytic anaemia (AIHA) and immune thrombocytopenia (ITP). It can be primary (idiopathic) or secondary (associated with an underlying disease). Primary Evans is a diagnosis of exclusion and has a poorer prognosis than AIHA or ITP alone. We present a 55-year-old man who presented with weakness and lethargy and was diagnosed to be suffering from primary ES.

Keywords: general practice/family medicine; haematology (incl blood transfusion); surgery.

Publication types

Case Reports

MeSH terms

Adult
Anemia, Hemolytic, Autoimmune* / diagnosis
Humans
Male
Middle Aged
Purpura, Thrombocytopenic, Idiopathic* / diagnosis
Purpura, Thrombocytopenic, Idiopathic* / drug therapy
Thrombocytopenia* / diagnosis

Supplementary concepts

Evans Syndrome