Evans Syndrome in a Jehovah’s Witness

Autor: Alejandro Calvo, Lex P Leonhardt, Aamir Pervez
Rok vydání: 2021
Předmět:
Zdroj: Cureus
ISSN: 2168-8184
DOI: 10.7759/cureus.15508
Popis: Evans syndrome (ES) is a rare hematologic disorder characterized by the development of autoimmune hemolytic anemia (AIHA), idiopathic thrombocytopenia, and occasionally immune-mediated neutropenia. Jehovah’s Witnesses (JW) often decline blood product transfusion on the grounds of a scriptural stand based on biblical texts. The acute management of ES often consists of blood product transfusion in addition to high-dose steroids and intravenous immunoglobulin. We describe the case of a JW female presenting with new-onset, acutely worsening AIHA and thrombocytopenia with concern for hemodynamic compromise who was successfully treated with erythropoietin-stimulating agents, parenteral iron, folic acid, and high-dose steroids.
Databáze: OpenAIRE