title: [Pregnancy complicated by HELLP syndrome].
abstract: HELLP syndrome belongs to the group of pathological disorders associated with pregnancy-induced hypertension and may accompany preeclampsia. The basic criteria for establishing the diagnosis are as follows: H--for hemolysis, EL--for elevated liver enzymes and LP--for low platelets. In this report the authors present the case of a 32 years old primipara admitted to the Obstetrics Clinic complaining of epigastric pain, nausea and vomiting. Medical history revealed previously diagnosed and treated reflux disease. In the 39th week of gestation epigastric pain manifested again, blood pressure was high (150/100) and on the basis of laboratory parameters HELLP syndrome was diagnosed (GPT 319 U/L, GOT 204 U/L, platelet 80 x 10(9)/L, antithrombin III 63.9%, D-dimer (+++)). With this case report, authors wished to point out the importance of early diagnosis and treatment of this rare, but having high percentage of perinatal mortality syndrome.
authors.affiliation: Z Katedry i Oddziału Klinicznego Połoznictwa i Ginekologii w Tychach.
authors.forename: Anna
authors.initials: A
authors.lastname: Belowska
authors.forename: Izabela
authors.initials: I
authors.lastname: Ulman-Włodarz
authors.forename: Ewa
authors.initials: E
authors.lastname: Galbierz-Kwiatkowska
mesh_terms: D000328:Adult; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology* / Q000517:prevention & control; D006801:Humans; D007231:Infant, Newborn; D008099:Liver / Q000201:enzymology; D008111:Liver Function Tests; D008429:Maternal Welfare; D011247:Pregnancy; D011256:Pregnancy Outcome; D011296:Prenatal Diagnosis / Q000592:standards*