scholarly journals A RARE CASE REPORT OF EVANS SYNDROME IN PREGNANCY

2020 ◽  
pp. 1-2
Author(s):  
T. Susmitha* ◽  
G. Nirmala Vani
Keyword(s):  
Rare Case ◽  
Macrocytic Anemia ◽  
Evans Syndrome ◽  
Thrombocytopenic Purpura ◽  
Serum Haptoglobin ◽  
Sequential Development ◽  
Healthy Female ◽  
Antiglobulin Test ◽  
Rare Case Report ◽  
In Pregnancy

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.

scholarly journals A Case of Pregnancy Complicated with Evans Syndrome with Sequential Development of Autoimmune Warm Antibody Hemolytic Anemia and Idiopathic Thrombocytopenic Purpura

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Haruka Suzuki ◽  
Koji Yamanoi ◽  
Jumpei Ogura ◽  
Takahiro Hirayama ◽  
Koji Yasumoto ◽  
...  
Keyword(s):  
Hemolytic Anemia ◽  
Idiopathic Thrombocytopenic Purpura ◽  
Macrocytic Anemia ◽  
Evans Syndrome ◽  
Thrombocytopenic Purpura ◽  
Sequential Development ◽  
Healthy Female ◽  
Long Term Follow Up ◽  
Haptoglobin Level

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.

scholarly journals PULMONARY ALVEOLAR MICROLITHIASIS IN PREGNANCY: A RARE CASE REPORT

2015 ◽  
Vol 4 (98) ◽  
pp. 16387-16389
Author(s):  
Hemanta Kumar Sethy ◽  
Biswal Pradipta Trilochan ◽  
Geetanjali Panda ◽  
Milan Misra
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Pulmonary Alveolar Microlithiasis ◽  
Rare Case Report ◽  
Alveolar Microlithiasis ◽  
In Pregnancy

scholarly journals Postpartum atypical haemolytic uremic syndrome: a rare case report

2020 ◽  
Vol 9 (11) ◽  
pp. 4710
Author(s):  
Neha Khatod ◽  
Shubhra Mukharjee ◽  
Vijay Malviya
Keyword(s):  
Renal Failure ◽  
Rare Case ◽  
Blood Transfusions ◽  
Haemolytic Uremic Syndrome ◽  
Aggressive Management ◽  
Rare Case Report ◽  
Uremic Syndrome ◽  
Long Term Prognosis ◽  
In Pregnancy

Hemolytic uremic syndrome (HUS) is characterized by triad of microangiopathic hemolytic anaemia, Thrombocytopenia and Acute renal failure. Genetically predisposed women develop HUS and may be triggered by pregnancy. The diagnosis is challenging due to overlapping clinical features of other diseases in pregnancy. The long-term prognosis is guarded. We are presenting a case of a young primigravida who underwent emergency lower (uterine) segment caesarean section (LSCS). She developed progressive anaemia, thrombocytopenia and renal failure postoperatively. Aggressive management with plasmapheresis, blood transfusions and hemodialysis saved her life. She is currently in remission.

scholarly journals CRIGGLER - NAJAR SYNDROME TYPE II IN PREGNANCY: A RARE CASE REPORT

2015 ◽  
Vol 4 (68) ◽  
pp. 11921-11923
Author(s):  
Richa Suresh Sankhe ◽  
Ganesh A Shinde ◽  
Jeena Pavithran
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Syndrome Type ◽  
Type Ii ◽  
Rare Case Report ◽  
In Pregnancy

scholarly journals Painless Thyroiditis Presenting as Hypercalcemia in Pregnancy: A Rare Case Report

2016 ◽  
Vol 2 (6) ◽  
Author(s):  
Homaid Alsahafi ◽  
Bandar Damanhuri ◽  
Faizal Ahmed ◽  
Faisal Almalki ◽  
Dhyaa Mokhtar
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Rare Case Report ◽  
Painless Thyroiditis ◽  
In Pregnancy

scholarly journals Rupture Uterus in Pregnancy with Didelphys Uterus: A Rare Case Report

2011 ◽  
Vol 3 (3) ◽  
pp. 149-150 ◽  
Author(s):  
Shaifali Dadhich ◽  
Shashi Suthar ◽  
Rekha Choudhary
Keyword(s):  
Case Report ◽  
Perinatal Outcome ◽  
Rare Case ◽  
Previous Cesarean Section ◽  
Uterus Didelphys ◽  
Rare Case Report ◽  
History Of ◽  
Ruptured Uterus ◽  
In Pregnancy ◽  
Previous Cesarean

ABSTRACT Uterus didelphys is rare and sometimes not even diagnosed. We report a case of didelphys uterus in a 26-year-old pregnant lady who previously had three successful pregnancies with previous one C-section and remained undiagnosed till she presented to us as ruptured uterus. This case report aimed to summarize the clinical characteristics and perinatal outcome of VBAC in pregnancy with didelphys uterus and history of previous cesarean section.

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