HELLP-Like Syndrome Associated With Hepatic Necrosis in a Patient With Systemic Lupus Erythematosus
作者:
Christine Evelyn,
Joon Kim,
Andrew Wong,
期刊:
JCR: Journal of Clinical Rheumatology
(OVID Available online 2001)
卷期:
Volume 7,
issue 3
页码: 179-183
ISSN:1076-1608
年代: 2001
出版商: OVID
关键词: Systemic lupus;Anticardiolipin antibodies;Pregnancy;HELLP-like syndrome;Liver necrosis
数据来源: OVID
摘要:
Hemolysis, elevated liver enzymes, and low platelet (HELLP) syndrome is often associated with preeclampsia or hypertension in pregnancy. Pregnancy in patients with systemic lupus erythematosus (SLE) may be complicated by development of a lupus flare with thrombocytopenia, hypertension and renal insufficiency, which may be difficult to distinguish from preeclampsia. We describe a 20-year-old patient with SLE and anticardiolipin antibodies who developed a HELLP-like syndrome during 2 successive pregnancies without the more typical symptoms of preeclampsia or hypertension. This unusual presentation of HELLP syndrome during pregnancy in a patient with SLE was evidenced by hematologic and liver enzyme abnormalities as a sign of ongoing hepatic necrosis. Early recognition of this syndrome is important because it may result in rapid deterioration with progressive hepatic necrosis that can be reversible with early termination of pregnancy.
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