Secondary Fisher–Evans syndrome in a child with activated PI(3)kd syndrome and lymphoma

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Abstract

Evans syndrome, a combination of autoimmune hemolytic anemia and immune thrombocytopenia, is a rare disease in children. In childhood, it may turn out to be one of the first manifestations of a primary immunodeficiency or an immune dysregulation syndrome. Here we present a clinical case of a patient who was initially diagnosed with Evans syndrome and did not respond well to therapy. Based on the results of genetic testing, the child was then diagnosed with primary immunodeficiency, namely, activated PI(3)kd syndrome. During follow-up, the patient developed lymphoma and had to undergo radical treatment (allogeneic hematopoietic stem cell transplantation). The patient's parents gave consent to the use of their child's data, including photographs, for research purposes and in publications.

About the authors

Zh. A. Kuzminova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

Author for correspondence.
Email: zfokina@yandex.ru
ORCID iD: 0000-0001-8586-8586

Zhanna A. Kuzminova, Cand. of Med. Sci., a senior researcher at the Department of Treatment Optimization for Hematological Disorders (Anemia and Myeloproliferation Study Group)

1 Samory Mashela St., Moscow 117997, Russia 

Russian Federation

V. V. Fominykh

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0003-2294-0821

 Moscow 

Russian Federation

N. N. Kotskaya

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0003-2787-6005

 Moscow 

Russian Federation

K. V. Mitrakov

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0002-2010-5534

 Moscow 

Russian Federation

A. A. Moiseeva

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0002-6134-3811

 Moscow 

Russian Federation

O. A. Shvets

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0001-5347-7150

 Moscow 

Russian Federation

A. M. Livshits

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0002-8545-0507

 Moscow 

Russian Federation

M. A. Kurnikova

The Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthсare of the Russian Federation

ORCID iD: 0000-0003-0900-6874

 Moscow 

Russian Federation

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Copyright (c) 2023 Kuzminova Z.A., Fominykh V.V., Kotskaya N.N., Mitrakov K.V., Moiseeva A.A., Shvets O.A., Livshits A.M., Kurnikova M.A.

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