[The HELLP syndrome--one hypothesis]

Abstract

On the basis of current literary data the author presents clinical, laboratory and histomorphological parameters, which show that HELLP syndrome and acute fatty dystrophy of liver during pregnancy have equal clinical picture, equal laboratory results, equal clinical management, equal therapeutic treatment, equal early and late prognosis for the mother and fetus (infant). The indicated up to now "specific" histological finding in the liver during fatty dystrophy of the liver of pregnant women is not sufficient foundation for division of these syndromes, because it is found in the HELLP syndrome as well, because fatty vacuoles depositions in the kidneys are discovered in (grave) preeclampsia. The author concludes that the acute fatty dystrophy during pregnancy is a manifestation, a form of HELLP syndrome, but not a disease, a syndrome sui generis.