A rare chronic hematologic disorder characterized by the simultaneous or sequential association of autoimmune hemolytic anemia (AIHA; a disorder in which auto-antibodies are directed against red blood cells causing anemia of varying degrees of severity) with immune thrombocytopenic purpura (ITP; a coagulation disorder in which auto-antibodies are directed against platelets causing hemorrhagic episodes) and occasionally autoimmune neutropenia, in the absence of a known underlying etiology.
Acute onset altered mental status in a previously healthy teenager.
Akbary S, Kannikeswaran N. Pediatr Emerg Care. 2012;28(4):376-9.
We report a case of a 12-year-old girl who presented to the emergency department with altered mental status secondary to an intracranial hemorrhage and later diagnosed to have Evans syndrome.
