Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome -A case report-
- PMID: 22778897
- PMCID: PMC3384799
- DOI: 10.4097/kjae.2012.62.6.575
Anesthetic management of HELLP syndrome complicating primary antiphospholipid syndrome -A case report-
Abstract
Antiphospholipid syndrome (APS) is defined as an autoimmune disorder characterized by recurrent thrombosis or obstetrical morbidity. A 29-year-old woman who was diagnosed with APS underwent emergency cesarean delivery at 23 weeks' gestation. She had a seizure attack and her laboratory findings were: AST/ALT 1459/1108 IU/L, LDH 1424 IU/L, 30% hematocrit, a platelet count of 43 × 10(3)/ml and urine protein (4+). We describe the anesthetic experience of catastrophic HELLP syndrome with antiphospholipid syndrome and we review the relevant literature.
Keywords: Antiphospholipid syndrome; Eclampsia; HELLP.
References
-
- Heilmann L, Schorsch M, Hahn T, Fareed J. Antiphospholipid syndrome and pre-eclampsia. Semin Thromb Hemost. 2011;37:141–145. - PubMed
-
- Asherson RA, Galarza-Maldonado C, Sanin-Blair J. The HELLP syndrome, antiphospholipid antibodies, and syndromes. Clin Rheumatol. 2008;27:1–4. - PubMed
-
- Sinha J, Chowdhry I, Sedan S, Barland P. Bone marrow necrosis and refractory HELLP syndrome in a patient with catastrophic antiphospholipid antibody syndrome. J Rheumatol. 2002;29:195–197. - PubMed
-
- Madan R, Khoursheed M, Kukla R, al-Mazidi M, Behbehani A. The anaesthetist and the antiphospholipid syndrome. Anaesthesia. 1997;52:72–76. - PubMed
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