Abstract | BACKGROUND: CASE: A primigravida at 32 2/7 weeks of gestation transferred to our institution with flu-like symptoms, anemia, jaundice, and elevated liver function tests. The team caring for her was concerned about HELLP or acute fatty liver. After extensive workup, she was found to have a cold agglutinin. Her laboratory test results improved, and she was discharged undelivered with a presumptive diagnosis of cold agglutinin autoimmune hemolytic anemia. CONCLUSION: When patients present with atypical features of HELLP syndrome, clinicians should take time to consider other "imitators of preeclampsia" before rapidly progressing to delivery to avoid inappropriate treatment of the disorder.
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Authors | Bridget Kamen, Mark A Karwal, Jerome Yankowitz |
Journal | Obstetrics and gynecology
(Obstet Gynecol)
Vol. 113
Issue 2 Pt 2
Pg. 545-547
(Feb 2009)
ISSN: 0029-7844 [Print] United States |
PMID | 19155951
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Aspartate Aminotransferases
- Alanine Transaminase
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Topics |
- Adult
- Alanine Transaminase
(blood)
- Anemia, Hemolytic, Autoimmune
(diagnosis, enzymology)
- Aspartate Aminotransferases
(blood)
- Diagnosis, Differential
- Female
- HELLP Syndrome
(diagnosis)
- Humans
- Liver Function Tests
- Pregnancy
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