Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc
Journal website https://www.thejh.org

Case Report

Volume 13, Number 3, June 2024, pages 121-124


Recurrent Infection in a Young Female Patient Recently Diagnosed With Primary Evans Syndrome Without Neutropenia

Figures

Figure 1.
Figure 1. Increased densities along the middle to lower lung fields with patchy to reticular nodular density changes (red arrows).
Figure 2.
Figure 2. Densities in the middle and lower lung fields (red arrows).

Table

Table 1. Lab Values Prior to Admittance to the Emergency Department During the Time of Diagnosis of Evans Syndrome
 
ComponentValueReference and units
Hb: hemoglobin; Hct: hematocrit; L: liter; MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration; g/dL: grams per deciliter; pg: picogram; fL: femtoliter; 109/L: ten to the power of nine per liters; 103/µL: thousand per microliters; %: percent; U/L: units per liter; µg/dL: micrograms per deciliter; mg/dL: milligrams per deciliter.
Iron< 1060 - 170 µg/dL
Hb10.512.0 - 16.0 g/dL
Hct36.238.0-46.0%
Reticulocyte count4.2%
Platelets80150 - 400 × 109/L
MCV73.680.0 - 100.0 fL
MCH21.327.0 - 31.0 pg
MCHC29.032.0 - 36.0 g/dL
Neutrophils6840-60%
Lactate dehydrogenase520140 - 280 U/L
Haptoglobin2941 - 165 mg/dL
Bilirubin (indirect)1.40.2 - 0.8 mg/dL
Coombs antibodyNoneNone
Cold agglutinin (IgM)NoneNone
IgA< 268 - 408 mg/dL
IgM< 1035 - 263 mg/dL
IgG< 17768 - 1,632 mg/dL
Neutrophils absolute6.712.5 - 6.0 × 103/µL
Monocytes absolute0.890.1 - 0.8 × 103/µL
Eosinophils absolute0.40< 0.40 × 103/µL
CD4/CD8 ratio0.80> 1