[What is your diagnosis? Hypochromic microcytic anemia with Evans syndrome or autoimmune thrombocytopenic purpura?].
We report a case of Evans syndrome associated with scleroderma in a 50-year-old woman admitted to the department of internal medicine of Yalgado Ouedraogo National Teaching Hospital in Burkina Faso. The interest of this case lies in on its mode of revelation: chronic bleeding that led to hypochromic microcytic anemia. The indirect antiglobulin test was positive. Corticosteroid treatment has been successful. Nonetheless, because autoimmune cytopenia may indicate underlying disorders, particularly lymphoid tissue malignancies, rigorous monitoring of this patient is essential.
Nacoulma
Eric William Camille
EW
Service de médecine interne, Centre hospitalier national Yalgado Ouedraogo, 01 BP 2251, Ouagadougou 01, Burkina Faso. eric_nacoulma@univ-ouaga.bf
Niamba
Pascal
P
Ouedraogo
Dieudonné
D
Tieno
Hervé
H
Traoré
Régina
R
Ouedraogo
Christophe
C
Drabo
Joseph
J
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000747:Anemia, Hypochromic / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000175:diagnosis*; D045743:Scleroderma, Diffuse / Q000209:etiology*
D000305:Adrenal Cortex Hormones