A case of Evans syndrome

Evans syndrome is an autoimmune disorder described by Robert in 1951 specifying that a link exists between primary thrombocytopenic purpura and acquired haemolytic anaemia. It rare characterised the simultaneous or sequential development of anaemia (AIHA) immune thrombocytopenia (ITP) with without neutropenia. Approximately, represent 5-10% warm cases 2-5% ITP cases. basically diagnosis exclusion. We present 50-year-old female presented anaemia, jaundice petechia. Patient indirect bilirubin was raised, Coombs test positive, lactate dehydrogenase reticulocyte count were raised. Based on positive patient diagnosed syndrome. ANA profile for SS-A suggestive underlying disorder. difficult to diagnose treat. Typically, corticosteroids other immunosuppressive medications are used manage