Document Detail


Adult Evans syndrome: complete hematologic recovery with steroids and rituximab: a case report.
MedLine Citation:
PMID:  20939201     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Evans syndrome is an autoimmune disorder characterized by the simultaneous or sequential development of autoimmune hemolytic anemia and immune thrombocytopenia. It may be primary (idiopathic, or associated with other diseases. First line therapy is immunosupression. A second line therapy includes danazol and splenectomy. Rituximab was approved by the Federal Drug Administration since 1998 for the treatment of lymphomas. We report a 46-year-old-male Hispanic with Evans syndrome. He presented with severe life threatening autoimmune hemolytic anemia and subsequently developed autoimmune thrombocytopenia. After treatment with steroids and rituximab he remains in remission. This case report supports the use of rituximab in an adult patient with Evans syndrome.
Authors:
Karen J Santiago-Ríos; Omayra Reyes; Alexis Cruz; Nydia Rodríguez-Pabón; William Cáceres
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Boletín de la Asociación Médica de Puerto Rico     Volume:  102     ISSN:  0004-4849     ISO Abbreviation:  Bol Asoc Med P R     Publication Date:    2010 Apr-Jun
Date Detail:
Created Date:  2010-10-13     Completed Date:  2010-11-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505267     Medline TA:  Bol Asoc Med P R     Country:  Puerto Rico    
Other Details:
Languages:  eng     Pagination:  33-6     Citation Subset:  IM    
Affiliation:
From the Hematology-Oncology Section, Department of Medicine, VA Caribbean Healthcare System, 10 Calle Casia, San Juan, Puerto Rico 00921. karensantiagorios@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Anemia, Hemolytic, Autoimmune / blood,  drug therapy
Antibodies, Monoclonal, Murine-Derived / therapeutic use*
Humans
Immunologic Factors / therapeutic use*
Male
Middle Aged
Remission Induction
Steroids / therapeutic use*
Thrombocytopenia / blood,  drug therapy
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal, Murine-Derived; 0/Immunologic Factors; 0/Steroids; 0/rituximab

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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