KMID : 0358419920350111667
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Korean Journal of Obstetrics and Gynecology 1992 Volume.35 No. 11 p.1667 ~ p.1672
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Evans Syndrome in Pregnancy
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ÀÓâ±³/Lim CK
ÇÑ»ó¿ø/ÀÌ¿µÁø/Â÷µ¿¼ö/ÇÑÇõµ¿/±è´ëÇö/Han SW/Lee YJ/Cha DS/Han HD/Kim TH
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Abstract
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Evans syndrome in association with pregnancy is a most unusual event which the development of acquired hemolytic anemia and idiopathic thrombocytopenic purpura in the same patient. The diagnostic criteria were considered to be as follows; the occurrence of acquired hemolytic anemia and thrombocytopenic purpura in a given patients with the two abnormalities occurring together or in succession, the absence of any apparent secondary etiologic factor and a positive result to the Coombstest. The optimal method of delivery is controversial, but the use of platelet counts of fetal scalp blood as a technique for identifying those thrombocytopenic fetuses seems to provide the most rational basis for management. We have recently experienced a case of Evans syndrome in pregnancy. So we report this case with a brief review of literature.
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