A Case of Evans Syndrome and Unstable Angina.
Publication/Presentation Date
10-1-2021
Abstract
Evans syndrome (ES) is characterized by autoimmune hemolytic anemia (AIHA) and immune-mediated thrombocytopenia. It is more common in the pediatric population than in adults. ES has been reported to be associated with thrombotic events and rarely can lead to acute coronary syndrome (ACS). There have been only a few reported cases of ACS secondary to ES. We present an interesting case of ES with unstable angina (UA) which had a limited response to oral and intravenous (IV) steroids requiring rituximab. A 64-year-old male with past medical history significant for hypertension, hyperlipidemia, diabetes mellitus and coronary artery disease, presented to the emergency room complaining of a 2-week history of chest pain, shortness of breath and hematuria. Physical examination indicated splenomegaly but was otherwise unremarkable with no petechiae or rash. Labs showed hemoglobin of 9.6 g/dL, platelet count 58 × 10
Volume
12
Issue
10
First Page
415
Last Page
418
ISSN
1923-4163
Published In/Presented At
Jamil, S. B., Patoli, I., Kazim, M., Abbas, S. H., & Ali, Z. (2021). A Case of Evans Syndrome and Unstable Angina. Journal of medical cases, 12(10), 415–418. https://doi.org/10.14740/jmc3777
Disciplines
Medicine and Health Sciences
PubMedID
34691339
Department(s)
Fellows and Residents
Document Type
Article