Patient is a nine-year-old girl who was diagnosed with Evans syndrome two years ago. She has been in remission with a regimen of IV immunoglobin, but now presents with fatigue, weakness, and SOB. She has also been bruising very easily —more so than usual. Blood work shows low platelets and a decrease in RBCs. Evans syndrome is notorious for cycles of exacerbation and remission. I fear she is
now out of remission. The course of treatment will be changed, and we will initiate a regimen of immunosuppressant drugs, most likely vincristine.
Dx. Evans syndrome
First-listed diagnosis: ________
Fill in the blank with correct word.
Answer: Evans syndrome – D69.41
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