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CASE REPORT
HELLP syndrome in a patient with systemic lupus erythematosus and secondary antiphospholipid syndrome
Online publication date: 2011-12-28
Reumatologia 2011;49(6):456-458
KEYWORDS
ABSTRACT
The presence of connective tissue diseases is associated with numerous pregnancy complications, such as recurrent miscarriages, intrauterine growth retardation or preeclampsia. A case of a 36-year-old woman with systemic lupus erythematosus and secondary antiphospholipid syndrome who developed a syndrome of haemolysis, elevated liver enzymes and low platelet count (HELLP syndrome) at 17 weeks of gestation is described. Treatment with corticosteroids, subcutaneous heparin, intravenous immunoglobulin and hypotensive drugs led to improvement of the clinical symptoms and normalization of laboratory parameters. Despite treatment, intrauterine foetal death occurred at 18 weeks of gestation. The purpose of this case report is to increase awareness of the possibility of early onset of HELLP syndrome in patients with connective tissue diseases.
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Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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