HELLP is an acronym that describes the syndrome of :
H
Hemolysis;
EL
elevated liver enzymes;
LP, low platelets.
HELLP syndrome is considered to be a variant of
preeclampsia.
However, unlike preeclampsia hypertension and
proteinuria do not need to be present for the diagnose HELLP syndrome.
Patients who have had HELLP syndrome have a 5 to
27 percent risk of developing HELLP syndrome and up to a 43 percent risk of
developing preeclampsia in subsequent pregnancies [1-3].
REFERENCES
1.
Sullivan CA,et al., The recurrence risk of the syndrome of hemolysis, elevated
liver enzymes, and low platelets (HELLP) in subsequent gestations. Am J Obstet
Gynecol 1994;171:940-3
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2.Chames MC, et al., Subsequent pregnancy outcome in women with a history of
HELLP syndrome at < or = 28 weeks of gestation.Am J Obstet Gynecol. 2003;188:1504-7
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3.Sibai BM et al., Pregnancies complicated by HELLP syndrome (hemolysis,
elevated liver enzymes, and low platelets): subsequent pregnancy outcome and
long-term prognosis.Am J Obstet Gynecol.1995;172(1 Pt 1):125-9.
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Created: 12/15/2005