raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1959

Evans syndrome

Synonyms: Immune pancytopenia · Autoimmune hemolytic anemia and autoimmune thrombocytopenia

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult, Childhood
Status
active

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.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enEvans syndromeImmune pancytopenia · Autoimmune hemolytic anemia and autoimmune thrombocytopenia
frSyndrome d'EvansAnémie hémolytique et thrombocytopénie autoimmunes · Pancytopénie auto-immune
deEvans-SyndromAutoimmune hämolytische Anämie und Immunthrombozytopenie · Immune Panzytopenie
esSíndrome de EvansAnemia hemolítica autoinmune y trombocitopenia autoinmune · Pancitopenia inmune
itSindrome di EvansAnemia emolitica autoimmune e trombocitopenia autoimmune · Pancitopenia immune
nlSyndroom van EvansAuto-immune hemolytische anemie en auto-immune trombocytopenie · Immuun pancytopenie
ptSíndrome Evans
plZespół EvansaAutoimmunologiczna niedokrwistość hemolityczna i autoimmunologiczna trombocytopenia · Pancytopenia immunologiczna
csEvansův syndromAutoimunní hemolytická anémie a autoimunní trombocytopenie · Imunitní pancytopenie
ukСиндром ЕвансаАутоімунна гемолітична анемія та аутоімунна тромбоцитопенія · Імунна панцитопенія
zhEvans综合征自身免疫性溶血性贫血伴自身免疫性血小板减少
trEvans sendromuBağışıklık pansitopeni · Otoimmün hemolitik anemi ve otoimmün trombositopeni

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10D69.3NTBTinclusionvalidated
ICD-113A20.5Especificvalidated
MONDO0016030Evalidated
MeSHC536380Evalidated
UMLSC0272126Evalidated
GARD6389Evalidated
MedDRA10053873Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.1 / 100 000EuropeValue and classValidated[EXPERT]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

13 annotations · validated 2016-12-15
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0001890Autoimmune hemolytic anemiaDiagnostic criterion
HP:0001973Autoimmune thrombocytopenia
Very frequent (99-80%)
HP:0001904Neutropenia in presence of anti-neutropil antibodies
HP:0000967Petechiae
Frequent (79-30%)
HP:0000978Bruising susceptibility
HP:0002094Dyspnea
HP:0000421Epistaxis
HP:0012378Fatigue
HP:0000952Jaundice
HP:0001254Lethargy
HP:0001324Muscle weakness
HP:0000980Pallor
Occasional (29-5%)
HP:0001279Syncope

Run the differential on the 4 obligate / very frequent terms

Annotation source: 26190425[PMID]

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Sources for this card