Evans syndrome: A case report

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.