Evans syndrome in conjunction with rheumatoid arthritis and SLE: A unique case of autoimmune intersection.

Autor:	Hashim HT; Research Department, University of Warith Al-Anbiyaa, College of Medicine, Karbala, Iraq., Al-Obaidi AD; Deparment of Internal Medicine, University of Baghdad, College of Medicine, Baghdad, Iraq., Al-Fatlawi N; Deparment of Internal Medicine, University of Baghdad, College of Medicine, Baghdad, Iraq., Hassan KH; Deparment of Internal Medicine, Al-Nassiryah Teaching Hospital, Nassiryah, Iraq., Al-Asadi AK; Deparment of Internal Medicine, University of Baghdad, College of Medicine, Baghdad, Iraq., Al-Rihaymee AMA; College of Health and Medical Techniques, Al-Mustaqbal University, Babylon, Iraq., Al-Obiade R; Deparment of Internal Medicine, University of Baghdad, College of Medicine, Baghdad, Iraq., Joffrey M; BDS, University of Baghdad, College of Dentistry, Baghdad, Iraq., Al-Badri SG; Deparment of Internal Medicine, University of Baghdad, College of Medicine, Baghdad, Iraq., Al-Awad A; Deparment of Internal Medicine, University of Baghdad, College of Medicine, Baghdad, Iraq.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2024 Sep 25; Vol. 19 (12), pp. 6323-6327. Date of Electronic Publication: 2024 Sep 25 (Print Publication: 2024).
DOI:	10.1016/j.radcr.2024.09.053
Abstrakt:	Evans syndrome is a rare autoimmune disorder characterized by autoimmune hemolytic anemia (AIHA) and immune thrombocytopenia (ITP), often linked with systemic lupus erythematosus (SLE). We present a case of a 25-year-old female with a history of rheumatoid arthritis (RA) who presented with new SLE symptoms, including left-sided weakness, pallor, and a photosensitive rash. Laboratory tests confirmed Evans syndrome, and MRI showed a cerebral infarction. Treatment with corticosteroids, hydroxychloroquine, and mycophenolate mofetil led to significant improvement. This case highlights the complexity of managing Evans syndrome in patients with coexisting autoimmune diseases like RA and SLE, emphasizing the need for early and aggressive treatment. (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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