title: Acute onset altered mental status in a previously healthy teenager.
abstract: Evans syndrome is a rare disease characterized by autoimmune hemolytic anemia and thrombocytopenia. Its initial presentation with intracranial hemorrhage is rare. We report a case of a 12-year-old girl who presented to the emergency department with altered mental status secondary to an intracranial hemorrhage and later diagnosed to have Evans syndrome.
authors.affiliation: Division of Emergency Medicine, Children's Hospital of Michigan, Detroit, MI, USA. spavlovic@med.wayne.edu
authors.forename: Silvija
authors.initials: S
authors.lastname: Akbary
authors.forename: Nirupama
authors.initials: N
authors.lastname: Kannikeswaran
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications* / Q000175:diagnosis; D001706:Biopsy; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D001523:Mental Disorders / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D008609:Mental Status Schedule; D012867:Skin / Q000473:pathology; D013921:Thrombocytopenia / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed