Evans syndrome and primary biliary cholangitis: A case report

Authors

  • Julio Enrique Carranza-Castillo EsSalud, Departamento de Cirugía, Hospital Víctor Lazarte Echegaray-Trujillo. La Libertad, Perú. Médico cirujano especialista en Cirugía General, Magister en Salud Pública. https://orcid.org/0000-0002-8698-3452
  • Esther Melissa Paredes-Pizan EsSalud, Departamento de Cirugía, Hospital Víctor Lazarte Echegaray-Trujillo. La Libertad, Perú. Estudiante de Medicina. https://orcid.org/0000-0003-3903-5991
  • Ana Gricelda Gutiérrez-Guerrero EsSalud, Departamento de Cirugía, Hospital Víctor Lazarte Echegaray-Trujillo. La Libertad, Perú Estudiante de Medicina. https://orcid.org/0000-0002-4066-9556
  • Piero Alessandro Murga-Loayza EsSalud, Departamento de Cirugía, Hospital Víctor Lazarte Echegaray-Trujillo. La Libertad, Perú. Estudiante de Medicina. https://orcid.org/0000-0002-7255-8068
  • David Narcizo-Valderrama EsSalud, Departamento de Cirugía, Hospital Víctor Lazarte Echegaray-Trujillo. La Libertad, Perú. Estudiante de Medicina. https://orcid.org/0009-0001-4145-3626
  • Betsy Bellisa Paz-Ramos EsSalud, Departamento de Cirugía, Hospital Víctor Lazarte Echegaray-Trujillo. La Libertad, Perú. Estudiante de Medicina. https://orcid.org/0000-0002-3528-9452
  • Yaqui Gretel Neira-Corrales EsSalud, Departamento de Cirugía, Hospital Víctor Lazarte Echegaray-Trujillo. La Libertad, Perú. Estudiante de Medicina. https://orcid.org/0000-0003-0514-2692

DOI:

https://doi.org/10.17268/rmt.2024.v19i4.6190

Keywords:

autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura, primary biliary cirrhosis, cholecystitis

Abstract

In this report, we present the case of a patient diagnosed with Evans syndrome and primary biliary cholangitis, an unusual combination that to date has few cases reported in the literature. The patient presented complex clinical characteristics, which, based on epidemiological data, was first diagnosed as dengue with alarm signs due to positive IgG results for this infection; he presented with fever, jaundice with direct predominance of hyperbilirubinemia, anemia, alkaline phosphatase and persistent elevated gamma-glutamyl transpeptidase; for which additional laboratory and imaging tests were performed to consolidate the etiology of the symptoms presented, to finally be diagnosed with both conditions.

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Published

2024-12-31

How to Cite

1.
Carranza-Castillo JE, Paredes-Pizan EM, Gutiérrez-Guerrero AG, Murga-Loayza PA, Narcizo-Valderrama D, Paz-Ramos BB, Neira-Corrales YG. Evans syndrome and primary biliary cholangitis: A case report. Rev Med Trujillo [Internet]. 2024Dec.31 [cited 2025Jan.6];19(4):140-3. Available from: https://revistas.unitru.edu.pe/index.php/RMT/article/view/6190

Issue

Vol. 19 No. 4 (2024): REVISTA MÉDICA DE TRUJILLO

Section

REPORTE DE CASO

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.