Evans Syndrome Associated with Pregnancy and COVID-19 Infection
Background. Evans syndrome (ES) is a chronic autoimmune disease characterized by autoimmune hemolytic anemia along with immune thrombocytopenic purpura. Few case reports of ES in pregnancy have been published, and ES may be difficult to distinguish from other diagnoses more common in pregnancy. Guid...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/8862545 |
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| author | Gayathri Vadlamudi Leah Hong Madhurima Keerthy |
| author_facet | Gayathri Vadlamudi Leah Hong Madhurima Keerthy |
| author_sort | Gayathri Vadlamudi |
| collection | DOAJ |
| description | Background. Evans syndrome (ES) is a chronic autoimmune disease characterized by autoimmune hemolytic anemia along with immune thrombocytopenic purpura. Few case reports of ES in pregnancy have been published, and ES may be difficult to distinguish from other diagnoses more common in pregnancy. Guidelines for treatment of ES are not well-defined. Case. A 23-year-old multigravid woman in active labor was found to have severe anemia and thrombocytopenia. She was diagnosed with ES and started on immunosuppressive treatments for persistent immune thrombocytopenic purpura. In the postpartum period, she was found to have coronavirus (COVID-19) infection and acute pulmonary embolism. Conclusion. Evans syndrome is a challenge to diagnose in pregnancy and poses important considerations for intrapartum and postpartum management. |
| format | Article |
| id | doaj-art-10f9c6ee9f2742c59c8a57163c8cb49c |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-10f9c6ee9f2742c59c8a57163c8cb49c2025-02-03T06:43:45ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/88625458862545Evans Syndrome Associated with Pregnancy and COVID-19 InfectionGayathri Vadlamudi0Leah Hong1Madhurima Keerthy2Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USADepartment of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USADepartment of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USABackground. Evans syndrome (ES) is a chronic autoimmune disease characterized by autoimmune hemolytic anemia along with immune thrombocytopenic purpura. Few case reports of ES in pregnancy have been published, and ES may be difficult to distinguish from other diagnoses more common in pregnancy. Guidelines for treatment of ES are not well-defined. Case. A 23-year-old multigravid woman in active labor was found to have severe anemia and thrombocytopenia. She was diagnosed with ES and started on immunosuppressive treatments for persistent immune thrombocytopenic purpura. In the postpartum period, she was found to have coronavirus (COVID-19) infection and acute pulmonary embolism. Conclusion. Evans syndrome is a challenge to diagnose in pregnancy and poses important considerations for intrapartum and postpartum management.http://dx.doi.org/10.1155/2020/8862545 |
| spellingShingle | Gayathri Vadlamudi Leah Hong Madhurima Keerthy Evans Syndrome Associated with Pregnancy and COVID-19 Infection Case Reports in Obstetrics and Gynecology |
| title | Evans Syndrome Associated with Pregnancy and COVID-19 Infection |
| title_full | Evans Syndrome Associated with Pregnancy and COVID-19 Infection |
| title_fullStr | Evans Syndrome Associated with Pregnancy and COVID-19 Infection |
| title_full_unstemmed | Evans Syndrome Associated with Pregnancy and COVID-19 Infection |
| title_short | Evans Syndrome Associated with Pregnancy and COVID-19 Infection |
| title_sort | evans syndrome associated with pregnancy and covid 19 infection |
| url | http://dx.doi.org/10.1155/2020/8862545 |
| work_keys_str_mv | AT gayathrivadlamudi evanssyndromeassociatedwithpregnancyandcovid19infection AT leahhong evanssyndromeassociatedwithpregnancyandcovid19infection AT madhurimakeerthy evanssyndromeassociatedwithpregnancyandcovid19infection |