{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:38:23Z","timestamp":1765888703993},"reference-count":0,"publisher":"Care Comm","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ceska Gynekol"],"published-print":{"date-parts":[[2021,8,30]]},"abstract":"<jats:p>Summary:    Objective: We present two case reports of severe course of covid-19\u202fin pregnancy demonstrating similarity between covid-19\u202fand HELLP syndrome. Case report: The fi rst case report describes an asymptomatic course of covid-19\u202faccompanied 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\u202fpatient with elevated liver enzymes and lactate dehydrogenase which preceded a\u202frespiratory failure. Furthermore, one of the most feared complication of pregnancy occurred, namely hepatic rupture. After a\u202fdelivery, the condition of the patient had been improving only slowly. It is not clear whether this condition represented a\u202fsevere course of covid-19\u202for a\u202fconcurrence of covid-19\u202fand HELLP syndrome. Conclusion: A\u202fsevere course of covid-19\u202fin pregnancy may cause a\u202fdiagnostic dilemma for its similarity between covid-19\u202fand a\u202fspecific complication of pregnancy \u2013 HELLP syndrome. This might lead to an unnecessary intervention and iatrogenic prematurity or underestimation of symptoms and delayed diagnosis of HELLP syndrome.<\/jats:p>","DOI":"10.48095\/cccg2021236","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T07:27:21Z","timestamp":1631604441000},"page":"236-241","source":"Crossref","is-referenced-by-count":9,"title":["HELLP syndrome and HELLP-like syndrome in pregnancies with covid-19\u00a0\u2013 case reports"],"prefix":"10.48095","volume":"86","author":[{"name":"Department of Gynecology and Obstetrics, AGEL \u0160ternberk Hospital, \u0160ternberk, Czech Republic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"\u010civrn\u00e1","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Skanderov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u0159\u00ed","family":"Ehrmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radovan","family":"Pilka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2021,8,30]]},"container-title":["\u010cesk\u00e1 gynekologie"],"original-title":["HELLP syndrome and HELLP-like syndrome in pregnancies with covid-19\u00a0\u2013 case reports"],"deposited":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T07:27:23Z","timestamp":1631604443000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-gynekologie.cz\/en\/journals\/czech-gynaecology\/2021-4-6\/hellp-syndrome-and-hellp-like-syndrome-in-pregnancies-with-covid-19-case-reports-127957"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,30]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,8,30]]},"published-print":{"date-parts":[[2021,8,30]]}},"URL":"https:\/\/doi.org\/10.48095\/cccg2021236","relation":{},"ISSN":["1210-7832","1805-4455"],"issn-type":[{"type":"print","value":"1210-7832"},{"type":"electronic","value":"1805-4455"}],"subject":[],"published":{"date-parts":[[2021,8,30]]}}}