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

Daniele D'Ambrosio, Valerio Tomaselli, Gaetano Gargiulo, Mario Roselli, David Della-Morte, Pasquale Abete

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1 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)237-239
Number of pages3
JournalInternational Journal of Gerontology
Issue number4
StatePublished - Dec 1 2016



  • Evans syndrome
  • influenza vaccine
  • lymphoma
  • neuroendocrine tumor
  • triggers

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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