Splenectomy for refractory Evans' syndrome associated with antiphospholipid antibodies: report of two cases. Issue 11 (1st November 2000)

• Record Type: Journal Article
• Authors: Font, Josep; Jiménez, Sònia; Cervera, Ricard; García-Carrasco, Mario; Ramos-Casals, Manuel; Campdelacreu, Jaume; Ingelmo, Miguel
• Is Part Of: Annals of the rheumatic diseases. Volume 59:Issue 11(2000)
• Page Start: 920
• Page End: 923
• Publication Date: 2000-11-01
• Subjects: thrombocytopenia -- haemolytic anaemia -- splenectomy -- antiphospholipid antibodies; Rheumatism -- Periodicals; 616.723005
• DOI: 10.1136/ard.59.11.920
• Languages: English
• ISSNs: 0003-4967

Abstract

Abstract : The main haematological manifestations seen in patients with antiphospholipid antibodies (aPL) are thrombocytopenia, usually mild, and haemolytic anaemia with a positive Coombs test. Owing to the shared characteristics with idiopathic thrombocytopenic purpura, similar rules are followed in the treatment of these cytopenias. Two patients with severe aPL associated cytopenias, who required splenectomy after being refractory to steroids, immunosuppressive agents, and other treatments (intravenous gammaglobulin, danazol), are described, and previously reported cases are reviewed.