{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:24:22Z","timestamp":1787239462427,"version":"build-2736575974"},"reference-count":30,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,7,27]]},"abstract":"<jats:p>The HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome is believed to be part of the spectrum of pre-eclampsia, which falls within the category of hypertensive disorders of pregnancy. Maternal and fetal complications are more severe in HELLP as opposed to pre-eclampsia alone. We describe a 26-year-old primigravida woman with no medical history who presents with signs of HELLP with marked transaminitis and mild disseminated intravascular coagulation at 35\u2005weeks of gestation who required emergent delivery of the fetus; the patient also sustained acute kidney injury requiring continuous veno-venous hemodiafiltration and a prolonged intensive care unit admission. Remarkably, with supportive care, all laboratory derangements, including renal function, normalised after 4\u2005weeks. We discuss the diagnostic conundrum when faced with the possible diagnosis of HELLP in discriminating from its many imitators in order to assume proper treatment.<\/jats:p>","DOI":"10.1136\/bcr-2016-216802","type":"journal-article","created":{"date-parts":[[2016,8,17]],"date-time":"2016-08-17T09:58:28Z","timestamp":1471427908000},"page":"bcr2016216802","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["HELLP syndrome: a diagnostic conundrum with severe complications"],"prefix":"10.1136","volume":"2016","author":[{"given":"Devika","family":"Rao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikulkumar Kumar","family":"Chaudhari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert Michael","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Jim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,8,17]]},"reference":[{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.6.559"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(01)00364-2"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199811263392202"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra0902814"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.5","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1160\/TH03-11-0683","article-title":"von Willebrand factor-cleaving protease (ADAMTS13) activity in normal non-pregnant women, pregnant and post-delivery women","volume":"92","author":"S\u00e1nchez-Luceros","year":"2004","journal-title":"Thromb Haemost"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.6","doi-asserted-by":"publisher","DOI":"10.1097\/00062752-200309000-00003"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.10.037"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.8","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-015-0173-5"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.9","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-201940"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2015.03.017"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195401212500301"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.12","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.12441211"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.13","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0002-9378(16)32330-4","article-title":"Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy","volume":"142","author":"Weinstein","year":"1982","journal-title":"Am J Obstet Gynecol"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.preghy.2016.02.001","article-title":"Imitators of preeclampsia: a review","volume":"6","author":"Morton","year":"2016","journal-title":"Pregnancy Hypertens"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.15","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(90)90376-I"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.16","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(90)90048-6"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.17","first-page":"97","article-title":"Disseminated intravascular coagulation and the syndrome of hemolysis, elevated liver enzymes, and low platelets in severe preeclampsia","volume":"73","author":"Van Dam","year":"1989","journal-title":"Obstet Gynecol"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1986.tb07879.x"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.19","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(93)90043-I"},{"issue":"(Pt 1)","key":"2025042703542342000_2016.aug17_2.bcr2016216802.20","first-page":"328","article-title":"Postpartum eclampsia: a recurring perinatal dilemma","volume":"76","author":"Miles","year":"1990","journal-title":"Obstet Gynecol"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.21","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91735-S"},{"key":"2025042703542342000_2016.aug17_2.bcr2016216802.22","doi-asserted-by":"crossref","unstructured":"Woudstra DM , Chandra S , Hofmeyr GJ , et al . 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