Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central Nigeria

HELLP (haemolysis, elevated liver enzymes, low platelets) is a pregnancy- associated hypertensive syndrome that constitutes one of the clinical forms in the range of pre-eclampsia. It is a severe complication seen in pregnant women usually in the second trimester of pregnancy. We describe a 31-year-...

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Main Author: Williams, B. , Goshit, S.J. , Kuschak, D. , Erhabor, O.* , Erhabor, T. , Egenti, N.B.
Format: Article
Language:English
Published: Hammer Head Production Limited 2021-09-01
Series:Sokoto Journal of Medical Laboratory Science
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Online Access:https://sokjmls.com.ng/index.php/SJMLS/article/view/108
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author Williams, B. , Goshit, S.J. , Kuschak, D. , Erhabor, O.* , Erhabor, T. , Egenti, N.B.
author_facet Williams, B. , Goshit, S.J. , Kuschak, D. , Erhabor, O.* , Erhabor, T. , Egenti, N.B.
author_sort Williams, B. , Goshit, S.J. , Kuschak, D. , Erhabor, O.* , Erhabor, T. , Egenti, N.B.
collection DOAJ
description HELLP (haemolysis, elevated liver enzymes, low platelets) is a pregnancy- associated hypertensive syndrome that constitutes one of the clinical forms in the range of pre-eclampsia. It is a severe complication seen in pregnant women usually in the second trimester of pregnancy. We describe a 31-year-old primigravidae with twins who presented at 16/40 with history of epigastric pain raised BP 240/140mmHg with signs of HELLP [signs of haemolysis (raised bilirubin (direct and indirect of 17.8 and 4.8 µmol/L respectively), elevated liver enzymes (AST and ALT of 47 and 48 iu/L) and low platelet count (81x10 9 /L)]. The patient situation worsened significantly and a decision was taken by the managing team after obtaining consent from the patient and her partner to terminate the pregnancy to save the mother's life. With effective management and excellent supportive care, all laboratory derangements, including liver enzymes normalised after 2 weeks.
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publishDate 2021-09-01
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series Sokoto Journal of Medical Laboratory Science
spelling doaj-art-c7cb2bb271444cf7a68d14b112c9ff0a2025-08-20T01:49:32ZengHammer Head Production LimitedSokoto Journal of Medical Laboratory Science2536-71532021-09-0162108Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central NigeriaWilliams, B. , Goshit, S.J. , Kuschak, D. , Erhabor, O.* , Erhabor, T. , Egenti, N.B.HELLP (haemolysis, elevated liver enzymes, low platelets) is a pregnancy- associated hypertensive syndrome that constitutes one of the clinical forms in the range of pre-eclampsia. It is a severe complication seen in pregnant women usually in the second trimester of pregnancy. We describe a 31-year-old primigravidae with twins who presented at 16/40 with history of epigastric pain raised BP 240/140mmHg with signs of HELLP [signs of haemolysis (raised bilirubin (direct and indirect of 17.8 and 4.8 µmol/L respectively), elevated liver enzymes (AST and ALT of 47 and 48 iu/L) and low platelet count (81x10 9 /L)]. The patient situation worsened significantly and a decision was taken by the managing team after obtaining consent from the patient and her partner to terminate the pregnancy to save the mother's life. With effective management and excellent supportive care, all laboratory derangements, including liver enzymes normalised after 2 weeks.https://sokjmls.com.ng/index.php/SJMLS/article/view/108case study, hellp syndrome, jos, north central nigeria
spellingShingle Williams, B. , Goshit, S.J. , Kuschak, D. , Erhabor, O.* , Erhabor, T. , Egenti, N.B.
Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central Nigeria
Sokoto Journal of Medical Laboratory Science
case study, hellp syndrome, jos, north central nigeria
title Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central Nigeria
title_full Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central Nigeria
title_fullStr Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central Nigeria
title_full_unstemmed Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central Nigeria
title_short Case Study of HELLP Syndrome in a pregnant woman of African Descent in Jos, North Central Nigeria
title_sort case study of hellp syndrome in a pregnant woman of african descent in jos north central nigeria
topic case study, hellp syndrome, jos, north central nigeria
url https://sokjmls.com.ng/index.php/SJMLS/article/view/108
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