2006
DOI: 10.1080/14767050600678337
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Preeclampsia: Diagnosis and management of the atypical presentation

Abstract: Preeclampsia, eclampsia, and HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome remain as major obstetric problems that plague a large percentage of women resulting in an equally large percentage of maternal and perinatal morbidities. It is important that a clinician makes the most accurate diagnosis possible to prevent these adverse maternal and perinatal outcomes. In general, most women will have a classical presentation of preeclampsia (hypertension and proteinuria) at >20 weeks gestation and… Show more

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Cited by 66 publications
(57 citation statements)
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“…Estas pacientes presentarán alteraciones de los parámetros de laboratorio compatibles con HELLP y proteinuria, pero no desarrollarán hipertensión arterial 3 . Los diagnósticos diferenciales a considerar son los denominados imitadores de PES: hígado graso agudo del embarazo, púrpura trombocitopénico trombótico, síndrome hemolítico urémico y crisis de lupus eritematoso sistémico (LES).…”
Section: Discussionunclassified
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“…Estas pacientes presentarán alteraciones de los parámetros de laboratorio compatibles con HELLP y proteinuria, pero no desarrollarán hipertensión arterial 3 . Los diagnósticos diferenciales a considerar son los denominados imitadores de PES: hígado graso agudo del embarazo, púrpura trombocitopénico trombótico, síndrome hemolítico urémico y crisis de lupus eritematoso sistémico (LES).…”
Section: Discussionunclassified
“…Examen físico normal, excepto puño percusión positiva bilateral. Sedimento de orina mostraba leucocitos 15-20 y bacterias ++, hematocrito 35,8%, leucocitos 13.800 mm 3 sin desviación izquierda, plaquetas 70.400 mm 3 ; PCR 12 mg/dl, amilasa, función renal y pruebas de coagulación normales.…”
Section: Caso Clínicounclassified
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“…The diagnosis can be challenging and time consuming to confirm or exclude, requiring hospitalization, serial blood pressure monitoring, serial blood laboratory studies, and a 24 hour urine collection[4]. Up to 25% of patients may develop atypical preeclampsia or HELLP syndrome (hemolysis, elevated liver enzymes and low platelets), which is difficult to differentiate from other diseases presenting with transaminitis, hemolysis or thrombocytopenia [5, 6]. …”
Section: Introductionmentioning
confidence: 99%