Evans Syndrome Presented with Marginal Zone Lymphoma and Duodenal Neuroendocrine Tumor in an Elderly Woman

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• 作者：Daniele D'Ambrosio¹ ; ² ; Valerio Tomaselli¹ ; Gaetano Gargiulo² ; ³ ; Mario Roselli⁴ ; David Della-Morte⁵ ; ⁶ ; Pasquale Abete² ; ^{p.abete@unina.it}
• 关键词：Evans syndrome ; influenza vaccine ; lymphoma ; neuroendocrine tumor ; triggers
• 刊名：International Journal of Gerontology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：10
• 期：4
• 页码：237-239
• 全文大小：937 K
• 卷排序：10

文摘

Evans syndrome (ES) is an autoimmune disorder characterized by simultaneous or sequential development of autoimmune hemolytic anemia, immune thrombocytopenia, and/or neutropenia. ES can be classified as a primary (idiopathic) or secondary (associated with an underlying disease) syndrome. We report a case of ES in an elderly patient in the presence of multiple trigger factors such as recent influenza vaccine, marginal zone lymphoma, and neuroendocrine tumor G1. Whether this association is casual or causal remains a matter of speculation. It is however necessary to have a thorough work-up in a newly diagnosed ES and a more accurate search of miscellaneous factors especially in elderly patients.