Sociedad Argentina de Hematología

Revista Hematología

 

 

 

 

 

Revista Argentina de Hematología

Abstract

Volumen:    19    # Number : 1

Publication Date :    Enero - Abril    Year:    2015

   ATENEO ANATOMOCLÍNICO

Evans syndrome: diagnostic and therapeutic challenge in a critical patient

Authors: Aizpurua MF, Casali C, Cicco J, Mahuad C, Vicente A, Zerga M, Garate GM

Abstract: Evans syndrome is an uncommon condition in daily practice, which can be both idiopathic and secondary to another underlying pathology. The case of a female patient of 72 years who complained of dyspnea functional class IV requiring attention quickly in the critical care area of the hospital is described. She had autoimmune hemolytic anemia at the time of hospital admission, later adding immune thrombocytopenia. We finally arrived at the diagnosis of peripheral T-cell lymphoma through bone marrow aspiration and flow cytometry. Diagnosis algorithm performed and established treatment is discussed, taking into account the constraints represented the critical state of the patient.

Key words: autoimmune hemolytic anemia immune thrombocytopenia Evans syndrome non Hodgkin lymphoma

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