Síndrome de HELLP normotensivo: caso clínico / Normotensive HELLP syndrome: Report of one case
Rev. méd. Chile
;
141(11): 1470-1474, nov. 2013. ilus, tab
Artigo
em Espanhol
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Pré-Eclâmpsia
/
Pressão Sanguínea
/
Síndrome HELLP
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2013
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
PontificiaUniversidad Católica deChile/CL
Similares
MEDLINE
...
LILACS
LIS