Síndrome de HELLP normotensivo: caso clínico

HELLP syndrome (hemolysis, elevated liver enzymes and low platelets) represents a severe form ofpreeclampsia associated with serious maternal and fetal morbidities and even death. Usually HELLP syndrome appears during the evolution of a severe preeclampsia; however HELLP syndrome can have atypical c...

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Autores principales:	Garrido,María Fernanda, Carvajal,Jorge Andrés
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2013
Materias:	HELLP syndrome Hypertension pregnancy-induced Preeclampsia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100015
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spelling	oai:scielo:S0034-988720130011000152014-09-01Síndrome de HELLP normotensivo: caso clínicoGarrido,María FernandaCarvajal,Jorge Andrés HELLP syndrome Hypertension pregnancy-induced Preeclampsia HELLP syndrome (hemolysis, elevated liver enzymes and low platelets) represents a severe form ofpreeclampsia associated with serious maternal and fetal morbidities and even death. Usually HELLP syndrome appears during the evolution of a severe preeclampsia; however HELLP syndrome can have atypical clinical manifestations. We report a 22-year-old female who consulted at 20 weeks of pregnancy for lumbar pain, dysuria and fever. A urinalysis revealed the presence of white blood cells. The patient was admitted to hospital and treated with antimicrobials. Forty eight hours after admission a proteinuria of 440 mg/24 h was detected. A severe pre eclampsia-HELLP syndrome was diagnosed. However the patient remained with normal blood pressure. An elevation of liver enzymes and creatinine were observed. Five days later fetal death was confirmed and an abortion was induced. The patient required a platelet transfusion. Four days after the abortion, the patient was discharged in good conditions.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.11 20132013-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100015es10.4067/S0034-98872013001100015
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	HELLP syndrome Hypertension pregnancy-induced Preeclampsia
spellingShingle	HELLP syndrome Hypertension pregnancy-induced Preeclampsia Garrido,María Fernanda Carvajal,Jorge Andrés Síndrome de HELLP normotensivo: caso clínico
description	HELLP syndrome (hemolysis, elevated liver enzymes and low platelets) represents a severe form ofpreeclampsia associated with serious maternal and fetal morbidities and even death. Usually HELLP syndrome appears during the evolution of a severe preeclampsia; however HELLP syndrome can have atypical clinical manifestations. We report a 22-year-old female who consulted at 20 weeks of pregnancy for lumbar pain, dysuria and fever. A urinalysis revealed the presence of white blood cells. The patient was admitted to hospital and treated with antimicrobials. Forty eight hours after admission a proteinuria of 440 mg/24 h was detected. A severe pre eclampsia-HELLP syndrome was diagnosed. However the patient remained with normal blood pressure. An elevation of liver enzymes and creatinine were observed. Five days later fetal death was confirmed and an abortion was induced. The patient required a platelet transfusion. Four days after the abortion, the patient was discharged in good conditions.
author	Garrido,María Fernanda Carvajal,Jorge Andrés
author_facet	Garrido,María Fernanda Carvajal,Jorge Andrés
author_sort	Garrido,María Fernanda
title	Síndrome de HELLP normotensivo: caso clínico
title_short	Síndrome de HELLP normotensivo: caso clínico
title_full	Síndrome de HELLP normotensivo: caso clínico
title_fullStr	Síndrome de HELLP normotensivo: caso clínico
title_full_unstemmed	Síndrome de HELLP normotensivo: caso clínico
title_sort	síndrome de hellp normotensivo: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013001100015
work_keys_str_mv	AT garridomariafernanda sindromedehellpnormotensivocasoclinico AT carvajaljorgeandres sindromedehellpnormotensivocasoclinico
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Síndrome de HELLP normotensivo: caso clínico

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