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2021, Number 3

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Med Crit 2021; 35 (3)

Fisher-Evans syndrome associated to acute pancreatitis

Domínguez-Pérez R, Arrazola-García FV
Full text How to cite this article 10.35366/100005

DOI

DOI: 10.35366/100005
URL: https://dx.doi.org/10.35366/100005

Language: Spanish
References: 7
Page: 154-156
PDF size: 175.15 Kb.


Key words:

Fisher-Evans syndrome, pancreatitis, intensive care unit.

ABSTRACT

During his hospital stay, he received steroid treatment; intravenous methylprednisolone for three days, oral prednisone (1 mg/kg/day) and human immunoglobulin (0.4 g/kg/day) for five days. Results: He presented clinical improvement, with resolution of anemia and thrombocytopenia. It was evaluated by the nephrology service; who established management with hemodialysis and performed renal biopsy with a report of interstitial tubular necrosis. Conclusion: Early detection of this syndrome and timely management had a great impact on the clinical evolution of the patient. He was graduated from home and received follow-up by the nephrology and hematology services by external.


REFERENCES

  1. Jaime-Pérez J, Aguilar-Calderón P, Salazar-Cavazos L, Gómez-Almaguer D. Evans syndrome: clinical perspectives, biological insights and treatment modalities. J Blood Med. 2018;9:171-184.

  2. Cimá-Castañeda MA, Ayala-López PM, Lara-Palacios MI, Abblitt-Luengas SM, Jiménez-Báez MV. Síndrome de Fisher-Evans o de Evans. Rev Hematol Mex. 2016;17:144-149.

  3. Silva RM, Urribastera CA, Fernández RL, Del Socorro M, Portelles MA. Síndrome de Fisher Evans asociado con esclerodermia. CCM. 2015; 19(3): 536-541.

  4. Ayala E, Charaja K, Cruz I, Yupari M, Cornejo M, García M, et al. Síndrome de Evans en paciente con síndrome antifosfolipídico secundario: desafío terapéutico. Rev Cubana Reumatol. 2016;18(2):196-199.

  5. Senosiáin LM, Lastra AP, Alberdi AJ. Púrpura trombótica trombocitopénica secundaria a pancreatitis aguda, una infrecuente asociación. Gastroenterología y Hepatología. 2009;32:531-532.

  6. Norton A, Roberts I. Management of Evans syndrome. Br J Haematol. 2006;132(2):125-137.

  7. Michel M, Chanet V, Dechartres A, Morin AS, Piette JC, Cirasino L, Rodeghiero F. The spectrum of Evans syndrome in adults: new insight into the disease based on the analysis of 68 cases. Blood. 2009;114(15):3167-3172.




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Med Crit. 2021;35