Daily plasma-exchange for life-threatening class I HELLP syndrome with prevalent pulmonary involvement.

Abstract

HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is a thrombotic microangiopathy affecting a minority of women with pre-eclampsia and usually resolves after delivery. The role of plasma exchange in HELLP syndrome has to be defined. Herein is reported a case of a primipara with a class I HELLP syndrome with prevalent pulmonary involvement successfully treated with 8 consecutive plasma exchange plus corticosteroids. In class I HELLP syndrome with cardiopulmonary complications early plasma exchange could be considered a therapeutic option.

• Authors: Claudia Del Fante, Cesare Perotti, Gianluca Viarengo, Giuseppe Sala Gallini, Carmine Tinelli, Laura Salvaneschi
• Journal: Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis (Transfus Apher Sci) Vol. 34 Issue 1 Pg. 7-9 (Feb 2006) ISSN: 1473-0502 [Print] England
• PMID: 16376616 (Publication Type: Case Reports, Journal Article)

Chemical References

• Adrenal Cortex Hormones

Topics

• Adrenal Cortex Hormones (therapeutic use)
• Adult
• Female
• HELLP Syndrome (therapy)
• Humans
• Lung (pathology)
• Plasma
• Plasma Exchange (methods)
• Pre-Eclampsia (therapy)
• Pregnancy
• Pulmonary Edema (therapy)
• Time Factors