Severe, early-onset hemolysis, elevated liver enzymes, and low platelet (HELLP) syndrome episode with spontaneous remission during pregnancy.
A case of a severe HELLP syndrome episode at 21 + 0 weeks of gestation is reported. Expectant management resulted in rapid improvement of all HELLP parameters. Subsequently preeclampsia developed and uteroplacental dysfunction deteriorated. Intrauterine fetal death occured at 22 + 3 weeks of gestation.
Merz
Waltraut M
WM
Department of Obstetrics and Prenatal Medicine, University of Bonn, Bonn, Germany. Waltraut.Merz@ukb.uni-bonn.de
Gembruch
Ulrich
U
D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D005260:Female; D005313:Fetal Death; D017359:HELLP Syndrome / Q000175:diagnosis*; D006801:Humans; D008750:Methyldopa / Q000627:therapeutic use; D009543:Nifedipine / Q000627:therapeutic use; D011225:Pre-Eclampsia / Q000175:diagnosis / Q000188:drug therapy; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011507:Proteinuria / Q000175:diagnosis; D012075:Remission, Spontaneous; D012720:Severity of Illness Index; D014665:Vasodilator Agents / Q000627:therapeutic use
D000959:Antihypertensive Agents; D014665:Vasodilator Agents; D008750:Methyldopa; D009543:Nifedipine