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Hemolysis, Elevated Liver Enzymes, Low Platelets Syndrome Superimposed on Hemolytic Uremic Syndrome

dc.contributor.authorMartins, I
dc.contributor.authorConceição, MG
dc.contributor.authorGomes, PP
dc.contributor.authorClode, N
dc.date.accessioned2017-04-18T21:57:34Z
dc.date.available2017-04-18T21:57:34Z
dc.date.issued2017-03-24
dc.description.abstractA pregnancy complicated by typical hemolytic uremic syndrome (HUS) and hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome is reported. At 20 weeks of gestation, a case of HUS was diagnosed, with Shiga toxin-producing Escherichia coli identified. Plasmapheresis allowed continuation of the pregnancy for 5 weeks. Superimposed preeclampsia and HELLP syndrome were diagnosed after the establishment of nephrotic range proteinuria, hypertension and recurrence of hemolysis. This is a singular case, as it demonstrates that HELLP syndrome can superimpose upon HUS, a fact that can impact future research on reproductive immunology. It also reminds clinicians that the overlapping of clinical and laboratory findings in HELLP syndrome makes the diagnosis of other thrombotic microangiopathies during pregnancy a clinical challenge.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Bras Ginecol Obstet. 2017 Mar 24. doi: 10.1055/s-0037-1600124.pt_PT
dc.identifier.doi10.1055/s-0037-1600124pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/18198
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectSíndrome HELLPpt_PT
dc.titleHemolysis, Elevated Liver Enzymes, Low Platelets Syndrome Superimposed on Hemolytic Uremic Syndromept_PT
dc.title.alternativeSíndrome HELLP sobreposta a síndrome hemolítica-urêmicapt_PT
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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