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BMJ Case Rep. 2014 Apr 7;2014. pii: bcr2013203208. doi: 10.1136/bcr-2013-203208.

HELLP syndrome preceded by intrahepatic cholestasis of pregnancy: one serious itch.

Author information

1
Women's and Children's Clinic, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Abstract

We present four women with seven ongoing pregnancies. Five pregnancies were complicated by intrahepatic cholestasis of pregnancy (ICP) and severe haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome with uncommon maternal morbidity. The combination of ICP and HELLP syndrome has not previously been reported. Awareness is warranted to accurately identify this combination of pregnancy-specific diseases with severe maternal morbidity.

PMID:
24711473
PMCID:
PMC3987518
DOI:
10.1136/bcr-2013-203208
[Indexed for MEDLINE]
Free PMC Article
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