Haemolytic Uraemic Syndrome (HUS) is a rare and severe form of thrombotic microangiopathy associated with poor renal prognosis. Approximately 10-20% the diagnoses atypical Uremic (aHUS) are related to pregnancy. Pregnancy acts as trigger for aHUS, especially in setting preeclampsia haemorrhage. It should be differentiated from other similar conditions such preeclampsia, HELLP syndrome, postpartum

The aim of the study was to investigate the content and distribution of sugar residues in placentas from pregnancies complicated by hypertensive disorders. Placentas from women with uncomplicated pregnancies (group 1), pregnancies complicated by gestational hypertension (group 2), pregnancies complicated by pre-eclampsia (group 3), pregnancies complicated by pre-eclampsia with HELLP syndrome (h...

HELLP syndrome, a severe manifestation of preeclampsia characterised by haemolysis, elevated liver enzymes, and thrombocytopaenia, occurs in 0.5-0.9% of pregnancies and is associated with significant maternal and fetal morbidity and mortality. We present the case of a 30 year old primigravida (RL) who developed a wound haematoma nearly 72 h after an emergency caesarean section for failure to pr...

BACKGROUND Even in developed countries, severe specific pregnancy complications may occur in the immediate postpartum period and require admission to the ICU. The characteristics and risk factors of acute renal failure (ARF) induced by these complications and their treatments are not well known. METHODS We performed a retrospective multicenter study in three intensive care departments linked ...

Objetivo: Analisar as diferentes condutas terapêuticas, relacionadas principalmente ao uso de corticosteroides, a serem tomadas diante um paciente com síndrome HELLP. Métodos: Esta revisão bibliográfica integrativa utilizou o PubMed, Cochrane e Science Direct como plataformas eletrônicas pesquisa, elegendo artigos publicados entre os anos 2002 2021. Os descritores utilizados foram “HELLP syndro...

A 33-year-old gravida-IL parn-I developed an acutc HELLP syndrome with disseminated intravascular coagulation and acute renal failure after a vaginal delivery following an uncomplicated pregnancy.

Scrub typhus and malaria can involve multiple organ systems and are notoriously known for varied presentations. However, clinical malaria or scrub typhus is unusual without fever. On the other hand, altered sensorium with or without fever, dehydration, hemorrhage and hemolysis may lead to low blood pressure. Presence of toxic granules and elevated band forms in such patients can even mimic seps...

OBJECTIVE To compare disease features in women with pre-eclampsia between those who are correctly identified (true positive) and those who are missed (false negative) when applying first-trimester prediction algorithms for pre-eclampsia to a prospectively enrolled population. METHOD Six first-trimester early (requiring delivery < 34 weeks' gestation) pre-eclampsia algorithms were applied to a...

HELLP syndrome is a pregnancy-specific disorder defined by hemolysis, elevated liver enzymes and low platelet count that is found in parturients, more frequent in older multiparas. It is frequently associated with severe preeclampsia or eclampsia, but can also be diagnosed in the absence of these disorders. The etiology of HELLP syndrome is unknown, and the pathogenesis of this disorder (includ...

The etiology and pathogenesis of the HELLP syndrome, a multisystem disease occurring only in pregnancy, are still unclear. Curiously, very few authors have investigated whether inherited factors may be involved. We report two cases of HELLP syndrome in two unrelated women whose fetuses were relatives (first cousins). The first case concerned a woman aged 32 with a normal course pregnancy who wa...