Evans syndrome: An uncommon hematological conundrum in a young adult: A case report

Abstract

Evans syndrome is a rare autoimmune-mediated cytopenic disorder. We described the case of a male 27-year-old who had a 15-day history of fever, cough, and myalgia. Although the clinical examination other than a fever is unremarkable, blood workup and cytochemistry showed an autoimmune hemolytic reaction and peripheral destruction of platelets consistent with Evans syndrome. The patient was given multiple transfusions of RBC and platelets in addition to oral corticosteroids, parenteral folic acid, and vitamin B12. This case highlights the importance of considering Evans Syndrome in the differential diagnosis and timely management for a better patient outcome. The following prescriptions were given to the patient upon discharge: injectable deltacortil, tab folic acid, and Cap Opt-D. The patient was instructed to come see the outpatient department at the hospital. This case report highlights the uncharted region of Evans Syndrome in Pakistan.