» Articles » PMID: 21686464

Ketonuria and HELLP Syndrome

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2011 Jun 21
PMID 21686464
Authors
Affiliations
Soon will be listed here.
Abstract

We recently managed a patient with the HELLP syndrome (Haemolysis, Elevated Liver enzymes and Low Platelet count) where there was a delay in diagnosis due to gastroenteritis. This case also reiterates the varied or lack of symptomatology in patients developing HELLP and obscuring the initial diagnosis. Patients with HELLP syndrome have significant maternal morbidity and mortality, hence clinical vigilance and high suspicion play a key role in the diagnosis and subsequent management.

References
1.
Crosby E . Obstetrical anaesthesia for patients with the syndrome of haemolysis, elevated liver enzymes and low platelets. Can J Anaesth. 1991; 38(2):227-33. DOI: 10.1007/BF03008152. View

2.
Sibai B, Taslimi M, Amon E, Mabie B, RYAN G . Maternal-perinatal outcome associated with the syndrome of hemolysis, elevated liver enzymes, and low platelets in severe preeclampsia-eclampsia. Am J Obstet Gynecol. 1986; 155(3):501-9. DOI: 10.1016/0002-9378(86)90266-8. View

3.
Dotsch J, Hohmann M, Kuhl P . Neonatal morbidity and mortality associated with maternal haemolysis elevated liver enzymes and low platelets syndrome. Eur J Pediatr. 1997; 156(5):389-91. DOI: 10.1007/s004310050621. View