This case illustrates the importance of eliciting a menstrual history in women with thrombocytopenia as a clue to the possibility of HELLP syndrome
in early pregnancy.
Brenner B, Lanir N, Thaler I: HELLP syndrome
associated with factor V R506Q mutation.
Current treatment options for HELLP syndrome
include administration of plasma volume expansion, thrombolytic agents, immunosuppressive agents, and exchange plasmapheresis.
About 1 in 10 patients with preeclampsia develop HELLP syndrome
, characterized by hemolysis, elevated liver enzymes, and low platelet counts.
There are several types of preeclampsia, including HELLP syndrome
, a particularly dangerous variant.
Hepatic infarcts in pregnancy are mostly secondary to APS (Anti-Phospholipid Syndrome), HELLP syndrome
(hemolysis, elevated liver enzymes, low platelets) and preeclampsia.
LDH is elevated in women with ovarian dysgerminomas and is reliable in pregnancy outside of HELLP syndrome
(hemolysis, elevated liver enzymes, low platelets).
Mrs Kivlehan suffered Hellp syndrome
, a severe and rare variant of pre-eclampsia, in the days after the birth of the couple'son Dior, who was four last Sunday.
Then, six weeks before her due date she developed Hellp syndrome
, a rare life-threatening variant of pre-eclampsia that affects fewer than one in 400,000.
Disseminated Scedosporium apiospermum infection in a previously healthy woman with HELLP syndrome
Gestational hypertensive diseases were also encountered; three cases of preeclampsia, one case of HELLP syndrome
and two cases of gestational hypertension were observed.
This is precisely what happens to women who face the challenges of preeclampsia and HELLP syndrome
during the middle to latter stages of pregnancy.