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Primary Evans syndrome in an adult man
  1. Archita Makharia,
  2. Manoj Lakhotia and
  3. Brateen Roy
  1. General Medicine, Dr Sampurnanand Medical College, Jodhpur, India
  1. Correspondence to Dr Archita Makharia; archita.makharia{at}


Evans syndrome (ES) is a simultaneous or subsequent development of two haematological disorders, autoimmune haemolytic anaemia (AIHA) and immune thrombocytopenia (ITP). It can be primary (idiopathic) or secondary (associated with an underlying disease). Primary Evans is a diagnosis of exclusion and has a poorer prognosis than AIHA or ITP alone. We present a 55-year-old man who presented with weakness and lethargy and was diagnosed to be suffering from primary ES.

  • haematology (incl blood transfusion)
  • surgery
  • general practice/family medicine

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  • Contributors AM prepared the manuscript and reviewed the literature. ML reviewed the manuscript and is responsible for intellectual content. BR also reviewed the manuscript and has searched the literature.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.