A Rare Case of Evans Syndrome in a Patient With Ulcerative Colitis

Kok Hoe Chan; Su Lin Lim; Gowthami Are; Theodore DaCosta Jr; Hamid S Shaaban

doi:10.14740/gr1316

A Rare Case of Evans Syndrome in a Patient With Ulcerative Colitis

Gastroenterology Res. 2020 Aug;13(4):158-160. doi: 10.14740/gr1316. Epub 2020 Aug 14.

Authors

Kok Hoe Chan¹, Su Lin Lim¹, Gowthami Are^{1

2}, Theodore DaCosta Jr^{1

2

3}, Hamid S Shaaban^{1

2

4}

Affiliations

¹ Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, NJ 07101, USA.
² Department of Internal Medicine, Saint Michael's Medical Center, New York Medical College, Newark, NJ 07101, USA.
³ Department of Gastroenterology, Saint Michael's Medical Center, New York Medical College, Newark, NJ 07101, USA.
⁴ Department of Hematology/Oncology, Saint Michael's Medical Center, New York Medical College, Newark, NJ 07101, USA.

PMID: 32864028
PMCID: PMC7433373
DOI: 10.14740/gr1316

Abstract

Evans syndrome (ES) is an autoimmune condition that presents with two or more cytopenias, which includes simultaneous or sequential development of warm autoimmune hemolytic anemia (AIHA) and immune thrombocytopenic purpura (ITP). The association of ES with ulcerative colitis (UC) was only reported once in the literature. Herein, we present a case of a 66-year-old male patient with a history of UC, who was diagnosed with ES secondary to UC, for which he was treated with steroids. Recognizing this rare association is important as prompt treatment with intravenous immunoglobulin and steroids will improve the prognosis and reduce the risk of complications.

Keywords: Autoimmune hemolytic anemia; Evans syndrome; Immune thrombocytopenic purpura; Ulcerative colitis.

Publication types

Case Reports