Case Report
Refractory Thrombocytopenia Responds to Octreotide Treatment in a Case of Evans Syndrome with Gastric Neuroendocrine Tumor
Table 1
Test results for initial and differential diagnoses.
| | Laboratory exam | Result | Reference values |
| | ANA | Negative | >INM 02 | | ANCA | | | | MPO | Negative | >INM 08 | | PR3 | Negative | >INM 08 | | Polyspecific direct coombs | Positive (3+) | — | | Monospecific direct coombs | | | | IgG | Positive (3+) | — | | IgM | Negative | — | | IgA | Negative | — | | C3d | Positive (2+) | — | | C3c | Negative | — | | Chromogranin A | 142.0 ng/mL | 1.9–15.0 | | Rheumatoid factor | Negative | >INM 05 | | Gastrin | 927.0 ng/L | 0–100 | | VIH 1-2 Ab + Ag p24 | Not reactive | — | | Haptoglobin | 99 mg/dL | 5–220 | | Full hepatitis panel (HBV/HCV) | Not reactive | — | | CMV | IgG negative | — | | IgM negative | — | | HSV 1 and 2 | IgG negative | — | | IgM negative | — | | VDRL | Not reactive | >INM 10 | | Bone marrow aspiration/biopsy |
Hyperplastic bone marrow with signs of peripheral thrombocytosis |
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