HELLP syndrome: clinical features and therapeutic orientation

HELLP syndrome is a severe pregnancy complication characterized by hemolysis, elevated liver enzymes, and thrombocytopenia. It affects between 0.2% and 0.9% of pregnancies, usually between 27 and 37 weeks. Although it is associated with pre-eclampsia, it can manifest without its typical signs, compl...

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Main Authors: César H. Gutiérrez-Aguirre, David Viznado-Romero
Format: Article
Language:English
Published: Permanyer 2025-04-01
Series:Medicina Universitaria
Subjects:
Online Access:https://www.medicinauniversitaria.org/frame_eng.php?id=273
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author César H. Gutiérrez-Aguirre
David Viznado-Romero
author_facet César H. Gutiérrez-Aguirre
David Viznado-Romero
author_sort César H. Gutiérrez-Aguirre
collection DOAJ
description HELLP syndrome is a severe pregnancy complication characterized by hemolysis, elevated liver enzymes, and thrombocytopenia. It affects between 0.2% and 0.9% of pregnancies, usually between 27 and 37 weeks. Although it is associated with pre-eclampsia, it can manifest without its typical signs, complicating the diagnosis. Angiogenic markers, such as the sFlt-1/placental growth factor ratio, have shown utility in the early identification and differentiation of HELLP syndrome. Timely management is crucial to reduce maternal and fetal morbidity and mortality, requiring close surveillance and expert obstetric care.
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spelling doaj-art-9fb4a5f491ca4a529dfaf15e301534d02025-08-20T03:10:42ZengPermanyerMedicina Universitaria1665-57962530-07092025-04-0127210.24875/RMU.24000049HELLP syndrome: clinical features and therapeutic orientationCésar H. Gutiérrez-Aguirre0David Viznado-Romero1Hematology Service, “Dr. José Eleuterio González” University Hospital, Autonomous University of Nuevo León; Department of Gynecology and Obstetrics, Hospital N.º 23 “Dr. Ignacio Morones Prieto”, IMSS; Monterrey, Nuevo León, MexicoHematology Service, School of Medicine, Autonomous University of Nuevo León, Monterrey, Nuevo León, MexicoHELLP syndrome is a severe pregnancy complication characterized by hemolysis, elevated liver enzymes, and thrombocytopenia. It affects between 0.2% and 0.9% of pregnancies, usually between 27 and 37 weeks. Although it is associated with pre-eclampsia, it can manifest without its typical signs, complicating the diagnosis. Angiogenic markers, such as the sFlt-1/placental growth factor ratio, have shown utility in the early identification and differentiation of HELLP syndrome. Timely management is crucial to reduce maternal and fetal morbidity and mortality, requiring close surveillance and expert obstetric care. https://www.medicinauniversitaria.org/frame_eng.php?id=273HELLP syndrome. Pre-eclampsia. Hemolytic anemia. Thrombocytopenia.
spellingShingle César H. Gutiérrez-Aguirre
David Viznado-Romero
HELLP syndrome: clinical features and therapeutic orientation
Medicina Universitaria
HELLP syndrome. Pre-eclampsia. Hemolytic anemia. Thrombocytopenia.
title HELLP syndrome: clinical features and therapeutic orientation
title_full HELLP syndrome: clinical features and therapeutic orientation
title_fullStr HELLP syndrome: clinical features and therapeutic orientation
title_full_unstemmed HELLP syndrome: clinical features and therapeutic orientation
title_short HELLP syndrome: clinical features and therapeutic orientation
title_sort hellp syndrome clinical features and therapeutic orientation
topic HELLP syndrome. Pre-eclampsia. Hemolytic anemia. Thrombocytopenia.
url https://www.medicinauniversitaria.org/frame_eng.php?id=273
work_keys_str_mv AT cesarhgutierrezaguirre hellpsyndromeclinicalfeaturesandtherapeuticorientation
AT davidviznadoromero hellpsyndromeclinicalfeaturesandtherapeuticorientation