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Obstetrics and Gynecology
Resident PGY 1
Henry Ford Hospital
Evans syndrome is a chronic autoimmune disease characterized by autoimmune hemolytic anemia (AIHA) along with immune thrombocytopenic purpura (ITP), caused by autoantibodies against red blood cells and platelets. The prevalence of ITP alone is 12/100,000 in U.S. adults, and Evans syndrome has been diagnosed in 1.8-10% of patients with ITP. Few case reports of Evans syndrome in pregnancy have been published, and guidelines for treatment are not well-defined due to the lack of information available in literature. We present a case of Evans syndrome in pregnancy, her clinical course, treatment, and complications postpartum. Evans syndrome is known to be a chronic condition with remissions and relapses. There is some evidence that Evans syndrome may have a more favorable course in pregnancy. More studies are needed to understand the clinical course, treatment options, and neonatal outcome of Evans syndrome in pregnancy.
Vadlamudi, Gayathri and Keerthy, Madhurima, "Evans Syndrome in Pregnancy: A Case Report" (2020). Case Reports. 7.