Thrombocytopenia in pregnancy: Evans syndrome an unconventional diagnosis, Evans syndrome in pregnancy: Case report
Turkiye Klinikleri Jinekoloji Obstetrik, cilt.26, sa.1, ss.52-55, 2016 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 1
- Basım Tarihi: 2016
- Doi Numarası: 10.5336/gynobstet.2014-42444
- Dergi Adı: Turkiye Klinikleri Jinekoloji Obstetrik
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.52-55
- Anahtar Kelimeler: Anemia, Pregnancy, Thrombocytopenia
- Ankara Üniversitesi Adresli: Evet
Özet
Evans syndrome, first described in 1951, is a rare hematological disorder characterized by episodes of autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura or neutropenia. It is an extremely rare event when it co-exist with pregnancy. To our knowledge there are 14 reported case co-exist with pregnancy. The diagnosis is made upon hemolytic anemia and idiopathic thrombocytopenic purpura, and also a positive direct Coombs test and an absence of any known underlying etiology. In this paper we report a woman with a prior diagnosis of Evans syndrome and had a flare-up during late trimester. This attack was unexpectedly and it was unlike previous attacks it revealed itself with pure thrombocytopenia as opposed to anemia and leukopenia in previous attacks. A healthy female fetus of 3370 gram was born. Fetal blood parameters were normal. Cop yright & 2016 by Tür ki ye Kli nik le ri.