Evans’ syndrome in an old patient: case presentation
Introduction. Evans’ syndrome (autoimmune hemolytic anemia combined with thrombocytopenia) is a rare hematological syndrome in the elderly. Case report. A 94-year-old patient was diagnosed with Evans’ syndrome with the secretion of monoclonal protein. The disease manifested initially by a periodi...
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| Format: | Article |
| Language: | English |
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Balkan Medical Union
2019-12-01
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| Series: | Archives of the Balkan Medical Union |
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| Online Access: | https://umbalk.org/wp-content/uploads/2019/11/27.EVANS-SYNDROME-IN-AN-OLD-PATIENT.pdf |
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| author | Leonid I. DVORETSKY Mariya A. KARNAUSHKINA Roza M. VAKOLYUK Nelly V. DUBROVSKAYA |
| author_facet | Leonid I. DVORETSKY Mariya A. KARNAUSHKINA Roza M. VAKOLYUK Nelly V. DUBROVSKAYA |
| author_sort | Leonid I. DVORETSKY |
| collection | DOAJ |
| description | Introduction. Evans’ syndrome (autoimmune hemolytic anemia combined with thrombocytopenia) is a rare hematological syndrome in the elderly.
Case report. A 94-year-old patient was diagnosed with Evans’ syndrome with the secretion of monoclonal protein. The disease manifested initially by a periodic decrease in hemoglobin and platelet counts, accompanied by a deterioration of the clinical condition, and the development of a hemorrhagic syndrome. Long-term glucocorticoid therapy led to the development of osteoporosis, complicated by compression fracture of the lumbar vertebra. The main clinical manifestations of the disease (pain, limited mobility) were associated with the development of this complication.
Conclusions. Diagnosis of Evans’ syndrome in elderly patients requires the exclusion of other similar diseases. Long-term glucocorticoid treatment can cause complications, such as osteoporosis with a risk of vertebral fracture. The resulting complications can disrupt the quality of life to a much greater extent than the underlying disease. When choosing a treatment for elderly patients with Evans’ syndrome, it is necessary to consider the possible benefits and the risk of complications. |
| first_indexed | 2024-12-21T15:24:05Z |
| format | Article |
| id | doaj.art-6607c743c1824fa4a9b3c931880dfcb3 |
| institution | Directory Open Access Journal |
| issn | 1584-9244 2558-815X |
| language | English |
| last_indexed | 2024-12-21T15:24:05Z |
| publishDate | 2019-12-01 |
| publisher | Balkan Medical Union |
| record_format | Article |
| series | Archives of the Balkan Medical Union |
| spelling | doaj.art-6607c743c1824fa4a9b3c931880dfcb32022-12-21T18:58:58ZengBalkan Medical UnionArchives of the Balkan Medical Union1584-92442558-815X2019-12-0154478178610.31688/ABMU.2019.54.4.27Evans’ syndrome in an old patient: case presentationLeonid I. DVORETSKYMariya A. KARNAUSHKINARoza M. VAKOLYUKNelly V. DUBROVSKAYAIntroduction. Evans’ syndrome (autoimmune hemolytic anemia combined with thrombocytopenia) is a rare hematological syndrome in the elderly. Case report. A 94-year-old patient was diagnosed with Evans’ syndrome with the secretion of monoclonal protein. The disease manifested initially by a periodic decrease in hemoglobin and platelet counts, accompanied by a deterioration of the clinical condition, and the development of a hemorrhagic syndrome. Long-term glucocorticoid therapy led to the development of osteoporosis, complicated by compression fracture of the lumbar vertebra. The main clinical manifestations of the disease (pain, limited mobility) were associated with the development of this complication. Conclusions. Diagnosis of Evans’ syndrome in elderly patients requires the exclusion of other similar diseases. Long-term glucocorticoid treatment can cause complications, such as osteoporosis with a risk of vertebral fracture. The resulting complications can disrupt the quality of life to a much greater extent than the underlying disease. When choosing a treatment for elderly patients with Evans’ syndrome, it is necessary to consider the possible benefits and the risk of complications.https://umbalk.org/wp-content/uploads/2019/11/27.EVANS-SYNDROME-IN-AN-OLD-PATIENT.pdfevans’ syndromeautoimmune hemolytic anemiaimmune thrombocytopeniaelderly |
| spellingShingle | Leonid I. DVORETSKY Mariya A. KARNAUSHKINA Roza M. VAKOLYUK Nelly V. DUBROVSKAYA Evans’ syndrome in an old patient: case presentation Archives of the Balkan Medical Union evans’ syndrome autoimmune hemolytic anemia immune thrombocytopenia elderly |
| title | Evans’ syndrome in an old patient: case presentation |
| title_full | Evans’ syndrome in an old patient: case presentation |
| title_fullStr | Evans’ syndrome in an old patient: case presentation |
| title_full_unstemmed | Evans’ syndrome in an old patient: case presentation |
| title_short | Evans’ syndrome in an old patient: case presentation |
| title_sort | evans syndrome in an old patient case presentation |
| topic | evans’ syndrome autoimmune hemolytic anemia immune thrombocytopenia elderly |
| url | https://umbalk.org/wp-content/uploads/2019/11/27.EVANS-SYNDROME-IN-AN-OLD-PATIENT.pdf |
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