There are a number of features found in people with Evans' syndrome, which are caused by the destruction of red blood cells, white blood cells and platelets. As red blood cells carry oxygen in the blood, low levels may cause:
- pallor (paleness), fatigue (tiredness) and light-headedness.
With low platelets, those with Evans' syndrome may have:
- purpura (patches of purplish discoloration resulting from leaking of blood into the skin)
- petechiae (tiny localised haemorrhages from the small blood vessels just beneath the surface of the skin)
- ecchymoses (bruises)
A reduction in white blood cells may cause an increased likelihood of infections.