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    Evans syndrome: A case report
    (2009) Taşkesen M.; Okur N.; Okur N.; Söker M.
    Evans syndrome is rare and characterized with autoimmun thrombocytopenia and hemolytic anemia. Etiology is unknown. The patients may apply with different clinical findings. Seven years old boy was refered for fever, abdominal pain and epistaxis. In physical examination pallor and hepatosplenomegaly were detected. In laboratory anemia, thrombocytopenia, insufficient of thrombocytes and hemolysis in periferic blood smear, high lactic dehydrogenase, low haptoglobulin, increased reticu-locyte count were found and Direct Coombs test were positive. Hypercellularity, increased erytroid series and megacar-yocytes were determined in bone marrow examination. Erythrocyte suspension and intravenous immunglobulin were used for treatment. In 12 days follow-up hemoglobine level and platelet count were in normal limits and patient was discharged succesfully. The patient had no symptoms and normal laboratory findings two months later. The aim of this case report is evaluation of clinical and laboratory features of Evans syndrome.
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    An unusual diagnosis in a child presenting with hypercalcemia: Acute lymphoblastic leukemia
    (Gulhane Askeri Tip Akademisi, 2010) Taşkesen M.; Okur N.; Söker M.; Taş M.A.
    Hypercalcemia is a rare complication of acute lymphoblastic leukemia in childhood. We report a 4-year-old boy who presented with hypercalcemia and was diagnosed to have acute leukemia. The laboratory tests for main causes of hypercalcemia (Hyperparathyroidism, hypervitaminosis A and D, hyperthyroidism) were within normal limits. Hypercalcemia was treated with intravenous isotonic sodium chloride solution, furosemide and corticosteroids. In repeat laboratory tests performed on day 4 of admission, a normal complete blood cell count was found, but peripheral blood smear examination at this time revealed atypical lymphocytes. A bone marrow aspiration was performed, and 80% lymphoblasts were determined. The diagnosis of acute leukemia cannot be excluded in a patient with hypercalcemia and normal complete blood cell count and peripheral blood smear examination results. Repeat laboratory and detailed peripheral blood smear examinations are necessary to make a correct diagnosis in such cases. © Gülhane Askeri Ti{dotless}p Akademisi 2010.