title: Management of a young patient with combined autoimmunity: Evans syndrome: a case report.
abstract: Management of patients with autoimmune disease can present a challenge for clinicians. Combinations of autoimmune disorders carry a worse prognosis and are often difficult to diagnose. Evans syndrome is a rare hematologic disorder characterized by the concurrent presentation of autoimmune hemolytic anemia and immune thrombocytopenic purpura. This paper reports the first case of the dental management of a young patient with Evans, discusses the current literature surrounding the differential diagnosis and treatment of Evans syndrome, and suggests a guide for the oral medicine, pediatric dentist, or hospital dental clinician when treating these patients.
authors.affiliation: Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA. apinto@pobox.upenn.edu
authors.forename: Andres
authors.initials: A
authors.lastname: Pinto
authors.forename: Rochelle G
authors.initials: RG
authors.lastname: Lindemeyer
authors.forename: Faizan
authors.initials: F
authors.lastname: Alawi
mesh_terms: D000293:Adolescent; D000744:Anemia, Hemolytic, Autoimmune; D017742:Dental Care for Chronically Ill / Q000379:methods*; D003731:Dental Caries / Q000628:therapy*; D005260:Female; D006801:Humans; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D016553:Purpura, Thrombocytopenic, Idiopathic; D013577:Syndrome; D014081:Tooth Extraction