CLINICAL COURSE AND MANAGEMENT OF IATROGENIC CUSHING’S SYNDROME IN A POST SPLENECTOMY EVANS SYNDROME PATIENT

Dalsania J. Suraj, Ajit Singh, Ashwin Karanam, Kanav Khera, Rajat Rana, Manjunath H. Hande

Abstract: Evans syndrome (ES) is anecdotal and incidental combination of autoimmune hemolytic anemia (AIHA) and immune thrombocytopenia (ITP); occurrence may be simultaneous and sequential. Cushing’s syndrome along with ES is just a co-existence and very rare combination. We report a case of Cushing’s syndrome with ES in a 26 years old female who has undergone splenectomy for AIHA treatment. She was diagnosed with ITP and AIHA remission after splenectomy. Simultaneously the patient presented with Cushing’s syndrome probably due to long term steroids use. Due to its rarity, this report shed light on clinical features, investigational procedures, management and outcomes in this particular combin ation.

Keywords: Immune thrombocytopenia, Autoimmune hemolytic anemia, CUSHINGOID, Transfusion, Immuno globulins.

Title: CLINICAL COURSE AND MANAGEMENT OF IATROGENIC CUSHING’S SYNDROME IN A POST SPLENECTOMY EVANS SYNDROME PATIENT

Author: Dalsania J. Suraj, Ajit Singh, Ashwin Karanam, Kanav Khera, Rajat Rana, Manjunath H. Hande

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Research Publish Journals

Vol. 2, Issue 1, April 2014 - September 2014

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CLINICAL COURSE AND MANAGEMENT OF IATROGENIC CUSHING’S SYNDROME IN A POST SPLENECTOMY EVANS SYNDROME PATIENT by Dalsania J. Suraj, Ajit Singh, Ashwin Karanam, Kanav Khera, Rajat Rana, Manjunath H. Hande