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HELLP syndrome and HELLP-like syndrome in pregnancies with covid-19 – case reports

Čivrná, Jana ; Skanderová, Daniela ; Ehrmann, Jiří ; Pilka, Radovan

Ceská gynekologie, 2021-01, Vol.86 (4), p.236-241 [Periódico revisado por pares]

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  • Título:
    HELLP syndrome and HELLP-like syndrome in pregnancies with covid-19 – case reports
  • Autor: Čivrná, Jana ; Skanderová, Daniela ; Ehrmann, Jiří ; Pilka, Radovan
  • É parte de: Ceská gynekologie, 2021-01, Vol.86 (4), p.236-241
  • Notas: ObjectType-Case Study-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-4
    content type line 23
    ObjectType-Report-1
    ObjectType-Article-3
  • Descrição: Objective: We present two case reports of severe course of covid-19 in pregnancy demonstrating similarity between covid-19 and HELLP syndrome. Case report: The fi rst case report describes an asymptomatic course of covid-19 accompanied by elevation of liver enzymes and lactate dehydrogenase but low ratio of angiogenic bio markers. No severe pregnancy complication occurred. All laboratory results had normalized after recovering from covid-19. The second case report describes a patient with elevated liver enzymes and lactate dehydrogenase which preceded a respiratory failure. Furthermore, one of the most feared complication of pregnancy occurred, namely hepatic rupture. After a delivery, the condition of the patient had been improving only slowly. It is not clear whether this condition represented a severe course of covid-19 or a concurrence of covid-19 and HELLP syndrome. Conclusion: A severe course of covid-19 in pregnancy may cause a diagnostic dilemma for its similarity between covid-19 and a specific complication of pregnancy – HELLP syndrome. This might lead to an unnecessary intervention and iatrogenic prematurity or underestimation of symptoms and delayed diagnosis of HELLP syndrome.
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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