SARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally?
Introduction. During the current outbreak of Coronavirus disease 2019 (COVID-19), the way to manage patients with autoimmune diseases remains elusive due to limited data available. Case report. We presented a case of a COVID-19 positive 20-year-old female with prior history of Evans syndrome. The pa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Military Health Department, Ministry of Defance, Serbia
2020-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84502000115P.pdf |
| _version_ | 1818665755858698240 |
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| author | Pantić Nikola Mitrović Mirjana Virijević Marijana Sabljić Nikica Pravdić Zlatko Suvajdžić Nada |
| author_facet | Pantić Nikola Mitrović Mirjana Virijević Marijana Sabljić Nikica Pravdić Zlatko Suvajdžić Nada |
| author_sort | Pantić Nikola |
| collection | DOAJ |
| description | Introduction. During the current outbreak of Coronavirus disease 2019 (COVID-19), the way to manage patients with autoimmune diseases remains elusive due to limited data available. Case report. We presented a case of a COVID-19 positive 20-year-old female with prior history of Evans syndrome. The patients remained asymptomatic even though she had been treated with immunosuppressants (prednisolone and azathioprine) together with romiplostim. Moreover, her course of infection was accompanied by thrombocytosis, although her platelet count was mostly be-low the reference range before the infection. The patient was monitored vigilantly, with special regard to platelet count and signs of thrombotic events. Conclusion. Platelet count monitoring and romiplostim administration should be performed more cautiously in chronic immune thrombocy-topenic patients infected by SARS-CoV-2. |
| first_indexed | 2024-12-17T05:53:41Z |
| format | Article |
| id | doaj.art-b02207064b7d4a9ea01061e298e1257f |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-12-17T05:53:41Z |
| publishDate | 2020-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-b02207064b7d4a9ea01061e298e1257f2022-12-21T22:01:05ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202020-01-0177121348135010.2298/VSP200811115P0042-84502000115PSARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally?Pantić Nikola0Mitrović Mirjana1Virijević Marijana2Sabljić Nikica3Pravdić Zlatko4Suvajdžić Nada5Clinical Center of Serbia, Clinic for Hematology, Belgrade, SerbiaClinical Center of Serbia, Clinic for Hematology, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaClinical Center of Serbia, Clinic for Hematology, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaClinical Center of Serbia, Clinic for Hematology, Belgrade, SerbiaClinical Center of Serbia, Clinic for Hematology, Belgrade, SerbiaClinical Center of Serbia, Clinic for Hematology, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, SerbiaIntroduction. During the current outbreak of Coronavirus disease 2019 (COVID-19), the way to manage patients with autoimmune diseases remains elusive due to limited data available. Case report. We presented a case of a COVID-19 positive 20-year-old female with prior history of Evans syndrome. The patients remained asymptomatic even though she had been treated with immunosuppressants (prednisolone and azathioprine) together with romiplostim. Moreover, her course of infection was accompanied by thrombocytosis, although her platelet count was mostly be-low the reference range before the infection. The patient was monitored vigilantly, with special regard to platelet count and signs of thrombotic events. Conclusion. Platelet count monitoring and romiplostim administration should be performed more cautiously in chronic immune thrombocy-topenic patients infected by SARS-CoV-2.http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84502000115P.pdfcovid-19evans syndromepurpura, thrombocytopenic, idiopathicromiplostimthrombocytosis |
| spellingShingle | Pantić Nikola Mitrović Mirjana Virijević Marijana Sabljić Nikica Pravdić Zlatko Suvajdžić Nada SARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally? Vojnosanitetski Pregled covid-19 evans syndrome purpura, thrombocytopenic, idiopathic romiplostim thrombocytosis |
| title | SARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally? |
| title_full | SARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally? |
| title_fullStr | SARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally? |
| title_full_unstemmed | SARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally? |
| title_short | SARS-COV-2 infection in a patient with Evans syndrome: A silent enemy or an ally? |
| title_sort | sars cov 2 infection in a patient with evans syndrome a silent enemy or an ally |
| topic | covid-19 evans syndrome purpura, thrombocytopenic, idiopathic romiplostim thrombocytosis |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84502000115P.pdf |
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