A RARE CASE REPORT OF EVANS SYNDROME IN PREGNANCY

Dr.T. Susmitha, Dr.G. Nirmala Vani

Abstract


The simultaneous or sequential development of autoimmune hemolytic anemia (AIHA) and idiopathic thrombocytopenic purpura (ITP) is known as Evans syndrome, which is very rare in pregnancy. We experienced a case of Evans syndrome in pregnancy. A 23-year-old primigravida with 37 weeks of gestation presented to the labor room with Evans syndrome. Her blood reports revealed features of hemolysis with macrocytic anemia, thrombocytopenia, elevated LDH, and low serum haptoglobin levels, and a direct antiglobulin test (DAT) was positive. A healthy female newborn with 3200 g was delivered by cesarean section. After delivery, DAT remained positive, and her platelet count falls markedly, and bone marrow transplantation was done. When Evans syndrome diagnosed during pregnancy, close and careful observation is essential because it can worsen both the maternal and fetal condition. 


Keywords


Evans syndrome, Autoimmune Hemolytic anemia, Direct Antiglobulin Test, Idiopathic Thrombocytopenic Purpura.

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