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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Main Authors: Gayathri Vadlamudi (Author), Leah Hong (Author), Madhurima Keerthy (Author)
Format: Book
Published: Hindawi Limited, 2020-01-01T00:00:00Z.
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100 1 0 |a Gayathri Vadlamudi  |e author 
700 1 0 |a Leah Hong  |e author 
700 1 0 |a Madhurima Keerthy  |e author 
245 0 0 |a Evans Syndrome Associated with Pregnancy and COVID-19 Infection 
260 |b Hindawi Limited,   |c 2020-01-01T00:00:00Z. 
500 |a 2090-6684 
500 |a 2090-6692 
500 |a 10.1155/2020/8862545 
520 |a 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. 
546 |a EN 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Obstetrics and Gynecology, Vol 2020 (2020) 
787 0 |n http://dx.doi.org/10.1155/2020/8862545 
787 0 |n https://doaj.org/toc/2090-6684 
787 0 |n https://doaj.org/toc/2090-6692 
856 4 1 |u https://doaj.org/article/10f9c6ee9f2742c59c8a57163c8cb49c  |z Connect to this object online.