title: A case of aggravation of hemolytic anemia, elevated liver enzymes and low platelet count syndrome after delivery.
abstract: BACKGROUND
  Hemolytic anemia, elevated liver enzymes and low platelet count (HELLP) syndrome is a severe obstetric complication which usually resolves in most patients after delivery.
  
  
  METHODS
  We report a rare case of aggravation of HELLP syndrome after delivery.
  
  
  RESULTS
  The patient underwent the treatment for HELLP syndrome, including glucocorticoid therapy. The symptoms of HELLP syndrome reappeared and became more severe than before the termination of pregnancy. The patient also had severe and persistent hypoproteinemia, hyponatremia and hypocalcemia.
  
  
  CONCLUSIONS
  HELLP syndrome is an acute and critical obstetric syndrome which can have heterogeneous presentations and variable prognosis. We should be fully aware of the diverse clinical characteristics of this condition.
authors.affiliation: Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, China.
authors.forename: Yuan-hui
authors.initials: YH
authors.lastname: Jiang
authors.forename: Yong-qing
authors.initials: YQ
authors.lastname: Wang
authors.forename: Jing
authors.initials: J
authors.lastname: Wang
authors.forename: Rong-hua
authors.initials: RH
authors.lastname: Ye
mesh_terms: D000328:Adult; D000743:Anemia, Hemolytic / Q000175:diagnosis* / Q000209:etiology; D036861:Delivery, Obstetric / Q000009:adverse effects*; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D006996:Hypocalcemia / Q000175:diagnosis / Q000209:etiology; D007010:Hyponatremia / Q000175:diagnosis / Q000209:etiology; D007019:Hypoproteinemia / Q000175:diagnosis / Q000209:etiology; D011247:Pregnancy; D055815:Young Adult