Hemolysis, elevated liver enzymes, and low platelet HELLP syndrome in a 26-year-old woman with cystic fibrosis: a case reportReportar como inadecuado




Hemolysis, elevated liver enzymes, and low platelet HELLP syndrome in a 26-year-old woman with cystic fibrosis: a case report - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Medical Case Reports

, 6:134

First Online: 23 May 2012Received: 24 September 2011Accepted: 22 March 2012DOI: 10.1186-1752-1947-6-134

Cite this article as: Geake, J., Dabscheck, E. & Reid, D. J Med Case Reports 2012 6: 134. doi:10.1186-1752-1947-6-134

Abstract

IntroductionThe microangiopathic hemolysis, elevated liver enzymes, and low platelet HELLP syndrome is a rare and potentially fatal complication of pregnancy. Here, to the best of our knowledge, we describe only the second reported case of this syndrome in a woman with cystic fibrosis.

Case presentationThis report describes the case of a 26-year-old woman of Caucasian ethnicity with mild cystic fibrosis bronchiectasis who ultimately manifested the triad of microangiopathic hemolysis, elevated liver enzymes, and low platelet count in the third trimester of pregnancy. Her baby was delivered successfully after a semi-elective caesarean section.

ConclusionsPregnancies in patients with cystic fibrosis are associated with an increased rate of complications. This case is of importance as it describes only for the second time the successful delivery of a baby in a women with cystic fibrosis, in a pregnancy also threatened by the microangiopathic hemolysis, elevated liver enzymes, and low platelet syndrome. This case will be of special interest to obstetricians, pediatricians, and medical, nursing and allied health staff involved in the delivery of cystic fibrosis care.

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Autor: James Geake - Eli Dabscheck - David Reid

Fuente: https://link.springer.com/







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