Thrombocytopenia in pregnancy: Evans syndrome an unconventional diagnosis, Evans syndrome in pregnancy: Case report


Yüce T., SEVAL M. M., Acar D., Atabekoǧlu C.

Turkiye Klinikleri Jinekoloji Obstetrik, cilt.26, sa.1, ss.52-55, 2016 (Scopus) identifier

  • 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.