HELLP syndrome preceded by intrahepatic cholestasis of pregnancy: one serious itch. (7th April 2014)

• Record Type: Journal Article
• Authors: Jebbink, Jiska; Tabbers, Merit; Afink, Gijs; Beuers, Ulrich; Elferink, Ronald Oude; Ris-Stalpers, Carrie; van der Post, Joris
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-04-07
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-203208
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present four women with seven ongoing pregnancies. Five pregnancies were complicated by intrahepatic cholestasis of pregnancy (ICP) and severe haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome with uncommon maternal morbidity. The combination of ICP and HELLP syndrome has not previously been reported. Awareness is warranted to accurately identify this combination of pregnancy-specific diseases with severe maternal morbidity.