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:: Volume 11, Issue 3 (5-2020) ::
Caspian J Intern Med 2020, 11(3): 18-0 Back to browse issues page
The co-occurrence of multiple sclerosis and Evans syndrome: A case report
Mohammad Ali Sahraian , Saeideh Salehizadeh , Abdorreza Naser Moghadasi
Multiple Sclerosis Research Center, Neuroscience institute,Tehran University of Medical Sciences, Tehran, Iran , sahraian1350@yahoo.com
Abstract:   (158 Views)
Background: Evans syndrome is an uncommon autoimmune disorder manifested by fatigue, jaundice, pallor, purpura and petechiae. The main characteristics of this rare disease are simultaneous or sequential existence of positive anti-globulin test, immune thrombocytopenia (ITP) and autoimmune hemolytic anemia (AIHA). Evans syndrome as an autoimmune disorder can be associated with other diseases. The concomitancy of Evans syndrome and multiple sclerosis (MS) has not been reported so far. In this case study a 21 years old male with concomitant Evans syndrome and MS has been reported.
Case Presentation: A 21-year-old male of Iranian origin and known case of Evans syndrome, was referred to our hospital for better evaluation. Evans syndrome was presented with acute jaundice, purpura, petechiae, and easy bruising when he was 9.He was under treatment of corticosteroid and cytotoxic agents, and presented with left lower extremity paresis for 5 months before admission to our hospital. According to neuroimaging and pathologic results, multiple sclerosis (MS) was diagnosed. Hence, we decided to treat the patient with rituximab. The patient has been stable without any further exacerbation or increase in disability progression after 2 years from diagnosis.
Conclusion: Evans syndrome can be associated with other autoimmune disorders. For our case, we have reported this association with MS.
Keywords: Multiple Sclerosis, Evans syndrome, Autoimmune disorders
     
Type of Study: case report | Subject: Neurology
Received: 2019/04/3 | Accepted: 2019/09/24 | Published: 2020/05/21
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Sahraian M A, Salehizadeh S, Naser Moghadasi A. The co-occurrence of multiple sclerosis and Evans syndrome: A case report. Caspian J Intern Med. 2020; 11 (3) :18-0
URL: http://caspjim.com/article-1-1831-en.html


Volume 11, Issue 3 (5-2020) Back to browse issues page
Caspian Journal of Internal Medicine
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