Journal article
Hemolysis and elevated transaminases imitating severe preeclampsia
Obstetrics and gynecology (New York. 1953), Vol.113(2 Pt 2), pp.545-547
02/2009
DOI: 10.1097/AOG.0b013e31819388d5
PMID: 19155951
Abstract
Illnesses coincident with pregnancy may present similarly to preeclampsia or may be mistaken for severe preeclampsia or hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. Distinguishing these imitators from preeclampsia is important to allow for appropriate treatment and to avoid unnecessary delivery.
A primigravida at 32 2/7 weeks of gestation transferred to our institution with flu-like symptoms, anemia, jaundice, and elevated liver function tests. The team caring for her was concerned about HELLP or acute fatty liver. After extensive workup, she was found to have a cold agglutinin. Her laboratory test results improved, and she was discharged undelivered with a presumptive diagnosis of cold agglutinin autoimmune hemolytic anemia.
When patients present with atypical features of HELLP syndrome, clinicians should take time to consider other "imitators of preeclampsia" before rapidly progressing to delivery to avoid inappropriate treatment of the disorder.
Details
- Title: Subtitle
- Hemolysis and elevated transaminases imitating severe preeclampsia
- Creators
- Bridget Kamen - University of IowaMark A KarwalJerome Yankowitz
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.113(2 Pt 2), pp.545-547
- DOI
- 10.1097/AOG.0b013e31819388d5
- PMID
- 19155951
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Language
- English
- Date published
- 02/2009
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Obstetrics and Gynecology; Internal Medicine
- Record Identifier
- 9984359784002771
Metrics
10 Record Views