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The Hellp syndrome associated with the anti-phospholipid syndrome

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Detalhes bibliográficos
Resumo:The authors describe the clinical case of a 32-year-old woman, 20 weeks pregnant, admitted  to our Medicine Department with nausea, vomiting, epigastric pain and thrombocytopaenia.Clinical and laboratorial evaluation led to the diagnosis of HELLP syndrome one week later. Given the development of acute liver failure and pre-eclampsia, an urgent therapeutic interruption of pregnancy was performed, allowing a rapid recovery of the clinical condition and laboratorial status. Some comments on differential diagnosis, clinical evolution and treatment approaches are mentioned. Using this case report the authors present short reviews on the HELLP syndrome (a clinical condition usually diagnosed in the Obstetric Department) and the anti-phospholipid syndrome. Considerations are drawn on the association of these two syndromes
Autores principais:Reis Pina, Paulo
Outros Autores:Oliveira, Lucinda; Silva, Francisco; Sousa, Sílvia; Pimenta da Graça, José; Abecassis, Pedro
Assunto:trombocitopenia pré-eclampsia anticorpos anti-cardiolipina síndrome anti-fosfolípida abortos espontâneos hemólise thrombocytopenia preeclampsia anticardiolipin antibodies antiphospholipid syndrome fetal loss haemolysis miscarriages
Ano:2004
País:Portugal
Tipo de documento:artigo
Instituição associada:Sociedade Portuguesa de Medicina Interna
Idioma:português
Origem:Revista Portuguesa de Medicina Interna
Descrição
Resumo:The authors describe the clinical case of a 32-year-old woman, 20 weeks pregnant, admitted  to our Medicine Department with nausea, vomiting, epigastric pain and thrombocytopaenia.Clinical and laboratorial evaluation led to the diagnosis of HELLP syndrome one week later. Given the development of acute liver failure and pre-eclampsia, an urgent therapeutic interruption of pregnancy was performed, allowing a rapid recovery of the clinical condition and laboratorial status. Some comments on differential diagnosis, clinical evolution and treatment approaches are mentioned. Using this case report the authors present short reviews on the HELLP syndrome (a clinical condition usually diagnosed in the Obstetric Department) and the anti-phospholipid syndrome. Considerations are drawn on the association of these two syndromes