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Evans syndrome complicated by chronic hypertension with superimposed pre-eclampsia with HELLP syndrome in pregnancy: A case report

Maria Cecilia C. Ching, MD and Maria Czarina Mendoza, MD, FPOG
Department of Obstetrics and Gynecology, Quirino Memorial Medical Center

The case of a pregnant woman initially presenting with low platelets and low haemoglobin and subsequently diagnosed as a case of Evans Syndrome is presented. Owing to its extremely low incidence, little research exists investigating pregnancies complicated by Evans Syndrome. Although diagnosis is simple and straightforward, management of a pregnancy of this nature has proven to be complex and challenging. Further complicating the case and its management is the concurrent diagnosis of Chronic Hypertension with Superimposed Pre-eclampsia, in complete HELLP Syndrome. Pre-eclampsia in the background of Evans Syndrome makes this case a truly interesting case. The individual effects of the two disease entities in a single patient are discussed in this report.