Immune Mediated Hemolytic Anemia Diagnosis
After receiving an initial diagnosis of Evans Syndrome and an estimate of 2,000 to confirm the diagnosis, we sought a second opinion. We opted to take Petey to a long-time family friend who is a veterinarian. Although we respected the opinion of the initial hospital, we just felt more comfortable having another consultation with someone that we knew. We were then referred to Dr. Slusser, an internal medicine specialist.
We took Petey in immediately for evaluation and treatment, knowing by then that he was a very sick boy. His energy level was non-existent, and I was worried that he might not make it through the night. He was seen by Dr. Slusser who confirmed that he was in very serious condition. He was given a complete ultrasound and additional blood work was ordered. His red blood count was so low that he was admitted into ER for blood transfusions. Without them, it was doubtful that he would pull through, and even with the transfusions, there were no guarantees. After the final round of blood work, it was confirmed that Petey had Immune Mediated Hemolytic Anemia (IMHA). Like with Evan’s Syndrome, IMHA is a disease that attacks its own red blood cells. Evans has an additional component that also attacks the platelets which thankfully was not the case with Petey.
Petey was given a 30% chance of survival, with the first few weeks after diagnosis being the most critical. It was not a good prognosis, but Dr. Slusser worked with us in terms of what our best options for treatment would be. To be continued…