Síndrome de HELLP normotensivo: caso clínico / Normotensive HELLP syndrome: Report of one case
Rev. méd. Chile
; 141(11): 1470-1474, nov. 2013. ilus, tab
Article
in Es
| LILACS
| ID: lil-704573
Responsible library:
CL1.1
ABSTRACT
HELLP syndrome (hemolysis, elevated liver enzymes and low platelets) represents a severe form ofpreeclampsia associated with serious maternal and fetal morbiditiesand even death. Usually HELLP syndrome appears during the evolution of a severepreeclampsia; however HELLP syndrome can have atypical clinical manifestations.We report a 22-year-old female who consulted at 20 weeks of pregnancy for lumbarpain, dysuria and fever. A urinalysis revealed the presence of white blood cells. Thepatient was admitted to hospital and treated with antimicrobials. Forty eight hoursafter admission a proteinuria of 440 mg/24 h was detected. A severe pre eclampsia-HELLP syndrome was diagnosed. However the patient remained with normal bloodpressure. An elevation of liver enzymes and creatinine were observed. Five dayslater fetal death was confirmed and an abortion was induced. The patient requireda platelet transfusion. Four days after the abortion, the patient was discharged ingood conditions.
Key words
Full text:
1
Index:
LILACS
Main subject:
Pre-Eclampsia
/
Blood Pressure
/
HELLP Syndrome
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Female
/
Humans
/
Pregnancy
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2013
Type:
Article