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Evans Syndrome Associated with Pregnancy and COVID-19 Infection

机译：evans综合征与妊娠和covid-19感染相关

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Background. Evans syndrome (ES) is a chronic autoimmune disease characterized by autoimmune hemolytic anemia along with immune thrombocytopenic purpura. Few case reports of ES in pregnancy have been published, and ES may be difficult to distinguish from other diagnoses more common in pregnancy. Guidelines for treatment of ES are not well-defined. Case. A 23-year-old multigravid woman in active labor was found to have severe anemia and thrombocytopenia. She was diagnosed with ES and started on immunosuppressive treatments for persistent immune thrombocytopenic purpura. In the postpartum period, she was found to have coronavirus (COVID-19) infection and acute pulmonary embolism. Conclusion. Evans syndrome is a challenge to diagnose in pregnancy and poses important considerations for intrapartum and postpartum management.
机译：背景。 evans综合征是一种慢性自身免疫疾病，其特征是由自身免疫性溶血性贫血以及免疫血小板细胞紫癜的特征。妊娠期患者的几个病例报告已发表，并且es可能难以在怀孕中更常见的诊断。 ES治疗指南并不定义。案件。发现了一个23岁的活跃劳动中的多国妇女具有严重的贫血和血小板减少症。她被诊断患有ES并开始对持续免疫血小板减少紫癜的免疫抑制治疗方法。在产后期间，她被发现有冠状病毒（Covid-19）感染和急性肺栓塞。结论。埃文斯综合征是诊断怀孕的挑战，对intapartum和产后管理构成重要的考虑因素。

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