title: [What is your diagnosis? Hypochromic microcytic anemia with Evans syndrome or autoimmune thrombocytopenic purpura?].
abstract: 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.
authors.affiliation: Service de médecine interne, Centre hospitalier national Yalgado Ouedraogo, 01 BP 2251, Ouagadougou 01, Burkina Faso. eric_nacoulma@univ-ouaga.bf
authors.forename: Eric William Camille
authors.initials: EW
authors.lastname: Nacoulma
authors.forename: Pascal
authors.initials: P
authors.lastname: Niamba
authors.forename: Dieudonné
authors.initials: D
authors.lastname: Ouedraogo
authors.forename: Hervé
authors.initials: H
authors.lastname: Tieno
authors.forename: Régina
authors.initials: R
authors.lastname: Traoré
authors.forename: Christophe
authors.initials: C
authors.lastname: Ouedraogo
authors.forename: Joseph
authors.initials: J
authors.lastname: Drabo
mesh_terms: 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*
chemical_list: D000305:Adrenal Cortex Hormones