title: Ketonuria and HELLP syndrome.
abstract: We recently managed a patient with the HELLP syndrome (Haemolysis, Elevated Liver enzymes and Low Platelet count) where there was a delay in diagnosis due to gastroenteritis. This case also reiterates the varied or lack of symptomatology in patients developing HELLP and obscuring the initial diagnosis. Patients with HELLP syndrome have significant maternal morbidity and mortality, hence clinical vigilance and high suspicion play a key role in the diagnosis and subsequent management.
authors.affiliation: Flat 170, Marine Court, St Leonards on Sea, East Sussex TN38 0DZ, UK.
authors.forename: Phanendra Kumar
authors.initials: PK
authors.lastname: Gubbala
authors.forename: Mahantesh
authors.initials: M
authors.lastname: Karoshi
authors.forename: Faris
authors.initials: F
authors.lastname: Zakaria