Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary management

Preeclampsia (PE) is not only a disease of pregnant women, but also a disease with lifelong consequences for mother and child. Making an early diagnosis and differential diagnosis of PE is crucial yet challenging, since PE can be mistaken for other internal diseases or surgical conditions. Despite t...

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Main Authors: A. N. Strizhakov, I. V. Ignatko, E. V. Timokhina
Format: Article
Language:Russian
Published: IRBIS LLC 2019-05-01
Series:Акушерство, гинекология и репродукция
Subjects:
Online Access:https://www.gynecology.su/jour/article/view/555
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author A. N. Strizhakov
I. V. Ignatko
E. V. Timokhina
author_facet A. N. Strizhakov
I. V. Ignatko
E. V. Timokhina
author_sort A. N. Strizhakov
collection DOAJ
description Preeclampsia (PE) is not only a disease of pregnant women, but also a disease with lifelong consequences for mother and child. Making an early diagnosis and differential diagnosis of PE is crucial yet challenging, since PE can be mistaken for other internal diseases or surgical conditions. Despite the variety of clinical symptoms of thrombotic microangiopathy that may manifest in a non-typical picture of PE, progressive multiple organ failure develops in all cases. It seems promising to study the role of matrix metalloproteinases and determine the genetic predisposition to early and severe PE. The forecast and prevention attempts must begin from the fertile cycle. A better knowledge of biochemical and genetic markers along with the clinical and instrumental tests will reduce the morbidity and mortality in PE patients.
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series Акушерство, гинекология и репродукция
spelling doaj-art-a1097b95bd874501a0d723a842ea470c2025-08-20T03:19:14ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942019-05-01131707810.17749/2313-7347.2019.13.1.070-078494Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary managementA. N. Strizhakov0I. V. Ignatko1E. V. Timokhina2I.M. Sechenov First Moscow State Medical University, Health Ministry of Russian FederationI.M. Sechenov First Moscow State Medical University, Health Ministry of Russian FederationI.M. Sechenov First Moscow State Medical University, Health Ministry of Russian FederationPreeclampsia (PE) is not only a disease of pregnant women, but also a disease with lifelong consequences for mother and child. Making an early diagnosis and differential diagnosis of PE is crucial yet challenging, since PE can be mistaken for other internal diseases or surgical conditions. Despite the variety of clinical symptoms of thrombotic microangiopathy that may manifest in a non-typical picture of PE, progressive multiple organ failure develops in all cases. It seems promising to study the role of matrix metalloproteinases and determine the genetic predisposition to early and severe PE. The forecast and prevention attempts must begin from the fertile cycle. A better knowledge of biochemical and genetic markers along with the clinical and instrumental tests will reduce the morbidity and mortality in PE patients.https://www.gynecology.su/jour/article/view/555preeclampsiathrombotic microangiopathymultiple organ failurematrix metalloproteinases
spellingShingle A. N. Strizhakov
I. V. Ignatko
E. V. Timokhina
Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary management
Акушерство, гинекология и репродукция
preeclampsia
thrombotic microangiopathy
multiple organ failure
matrix metalloproteinases
title Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary management
title_full Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary management
title_fullStr Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary management
title_full_unstemmed Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary management
title_short Imitators of severe preeclampsia: on differential diagnosis and multidisciplinary management
title_sort imitators of severe preeclampsia on differential diagnosis and multidisciplinary management
topic preeclampsia
thrombotic microangiopathy
multiple organ failure
matrix metalloproteinases
url https://www.gynecology.su/jour/article/view/555
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AT ivignatko imitatorsofseverepreeclampsiaondifferentialdiagnosisandmultidisciplinarymanagement
AT evtimokhina imitatorsofseverepreeclampsiaondifferentialdiagnosisandmultidisciplinarymanagement