HELLP SYNDROME

THE IMPORTANCE OF LABORATORY INVESTIGATION IN PREECLAMPSIA

Authors

  • José Carlos Gama da Silva
  • Douglas Bernal Tiago
  • Daniela Fornel de Oliveira

Keywords:

pre-eclampsia, HELLP syndrome, pregnancy

Abstract

Preeclampsia, a disease specific to pregnancy and characterized by hypertension and proteinuria, may have HELLP Syndrome as one of its complications, in which the patient begins to experience hemolysis, elevated liver enzymes and progressive thrombocytopenia. Once the diagnosis is made, the most appropriate treatment is termination of pregnancy and the longer it is delayed, the more it may compromise fetal vitality and even maternal vitality. In this research, a case is reported whose clinical picture is not evident, while laboratory changes are conclusive. Therefore, the importance of investigating the HELLP Syndrome is highlighted whenever a patient with pre-eclampsia is admitted, which will increase the sensitivity for making the diagnosis, in order to avoid compromising fetal and maternal vitality in cases more serious.

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References

Brown MA, Bowyer L, Mchugh L, Davis GK, Mangos G.J, Jones M. Twenty-four-hour automatecl bloocl pressure monitoring as a predictor of preeclampsia. Am J ObstetGynecol 2001; 185:618-22.

De Gracia PV. Pregnancy cornplicated by pre­eclampsi-eclampsia with HELLP synclrome. Int J Gynecol Obstetr 2001; 72: 17-23.

Haclclacl B, Barton JR, Livingston .IC, Chahine R, S ibai BM. HELLP (hemolysis,elevated li ver enzymes,and low platelet count) synclrome versus severe preeclampsia: Onset at<28.0 weeks'gestation. Am J ObstetGynecol 2000; 183:1475-9.

-laddad B, Barton JR, Livingston .JC, Chahine R, Sibai BM. Risck factors for adverse maternal outcomes among women with HELLP (hemolysis,elevated li ver enzymes, anel low platelet count) syndrome. Arn .J Obstet Gynecol 2000; 183 :444-8.

Hall DR, Odendaal HJ, Steyn DW. Delivery ofpatients with early onset, severe pre-eclarnpsia. lnt J Gynecol Obstetr 2001; 74: 143-50.

Mackay AP, Berg CJ, Atrash HK. Pregnancy-relatecl mortality frorn preeclampsia anel eclampsia. Obstet Gynecol 2001; 97( 4):533-8.

Rath W, Faridi A, Dudenhausen JW. HELLP syndrome. J Perinat Med 2000; 28:249-60.

Robert JM. Preeclampsia: is there value in assessing before clinically evident disease? Obstet Gynecol 2001; 98:596-9.

Trogstad LI, Eskild A, Magnus P, Sarnuelsen SO, Nesheim Bl. Changing paternity anel time since last pregnancy; the impact on pre-eclampsia risk. A stucly of547238 women with anel without previous pre-eclampsia. IntJ Epidemiai 2001; 30: 1317-22.

Witlin AG, Saade GR, Mattar F, Sibai BM. Preclictors of neonatal outcome in women with severe preeclampsia or eclampsia between 24 anel 33 weeks'gestation. Arn .J Obstei Gynecol 2000; 182:607-11.

Published

2002-04-29

How to Cite

Silva, J. C. G. da, Tiago, D. B., & Oliveira, D. F. de. (2002). HELLP SYNDROME: THE IMPORTANCE OF LABORATORY INVESTIGATION IN PREECLAMPSIA. Revista De Ciências Médicas, 11(1). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/1308

Issue

Section

Relato de Caso