Síndrome de HELLP normotensivo: caso clínico / Normotensive HELLP syndrome: Report of one case
Rev. méd. Chile
;
141(11): 1470-1474, nov. 2013. ilus, tab
Artículo
en Español
| LILACS
| ID: lil-704573
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Preeclampsia
/
Presión Sanguínea
/
Síndrome HELLP
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
Límite:
Femenino
/
Humanos
/
Embarazo
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2013
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
PontificiaUniversidad Católica deChile/CL
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